|
|
 |
 |
| |
 Printable version |
Management of postpartum vaginal haematomas by embolisation: Two cases |
Cahiers d'études et de recherches francophones / Santé . Volume 20, Number 2, 105-7, avril-mai-juin 2010, Cas clinique
|
 Résumé
Article gratuit
|
Author(s) : Mehdi Kehila, Sami Mahjoub, Sahbi Kebaili, Hatem Rajhi, Fouzia Zouari |
Summary : Postpartum vaginal haematomas are a rare complication of delivery. The incidence of large haematomas is estimated at 1/4000 deliveries, and this complication can be life-threatening. We report two such cases. The diagnosis is suggested by shooting perineal pain with urinary tenesmus and vulvovaginal swelling or an unexplained haemorrhagic syndrome in the postpartum period. Rapid management is essential. Embolisation by interventional radiology is preferred to surgery. In the first case, arterial embolisation was performed after bilateral ligation of the hypogastric arteries failed. Arterial embolisation was the first-line treatment for the second patient. It was successful for both women. |
Keywords : genital hematoma, gynaecology-obstetrics, post-partum hemorrhagia |
|
