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[Uterine necrosis following uterine compressions in combination with vascular ligation during postpartum hemorrhage: a case report].

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  • معلومة اضافية
    • Transliterated Title:
      Nécrose utérine suite à une combinaison de compressions utérines et de ligature vasculaire lors d'une hémorragie post-partum: à propos d’un cas.
    • المصدر:
      Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Kampala, Uganda : African Field Epidemiology Network
    • الموضوع:
      Postpartum Hemorrhage/*surgery ; Suture Techniques/*adverse effects ; Uterus/*pathology; Adult ; Cesarean Section ; Female ; Humans ; Laparotomy ; Ligation ; Morocco ; Necrosis/etiology ; Pelvic Pain/etiology ; Postpartum Hemorrhage/etiology ; Pregnancy ; Sepsis/etiology
    • نبذة مختصرة :
      Delivery hemorrhage is the leading cause of maternal mortality in Morocco. It is an obstetric emergency requiring early, effective and multidisciplinary management in patients with severe postpartum bleeding resistant to medical treatment. Advances in interventional radiology and especially, in surgical techniques have provided safe and effective alternatives to hemostasis hysterectomy . We here report a case of uterine necrosis following conservative surgical treatment of delivery hemorrhage based on B-Lynch uterine compression suture combined with Tsirulnikov triple vascular ligation. The patient had sepsis on day 4 after delivery associated with fever and pelvic pain and biological inflammatory syndrome which worsened 48 hours after the onset of abdominal contracture. Abdomopelvic scanner, showed gas bubbles in the uterine myometer suggestive of necrosis. Exploratory laparotomy was performed, which objectified complete necrosis of the uterus. Uterine compression sutures are surgical techniques which play a major role in the therapeutic armamentarium of postpartum hemorrhage during cesarean section. It allows, in addition to or as an alternative to vascular ligation, the preservation of patient's fertility, but it also requires maximum caution and monitoring of complications, the most serious of which is uterine necrosis.
      Competing Interests: Les auteurs ne déclarent aucun conflit d´intérêts.
      (Copyright: Kamal EL Moussaoui et al.)
    • References:
      Am J Obstet Gynecol. 2008 Nov;199(5):519.e1-7. (PMID: 18639209)
      Obstet Gynecol. 2005 Sep;106(3):569-72. (PMID: 16135589)
      Br J Obstet Gynaecol. 1997 Mar;104(3):372-5. (PMID: 9091019)
      Gynecol Obstet Fertil. 2009 Oct;37(10):844; author reply 844-5. (PMID: 19766042)
      Gynecol Obstet Fertil. 2009 Jun;37(6):579-82. (PMID: 19477674)
      Int J Fertil Womens Med. 2005 Jul-Aug;50(4):148-63. (PMID: 16405100)
      J Gynecol Obstet Biol Reprod (Paris). 1979;8(8):751-3. (PMID: 317962)
    • Contributed Indexing:
      Keywords: Delivery hemorrhage; case report; uterin upholstery; uterine atonia; uterine necrosis
    • الموضوع:
      Date Created: 20210218 Date Completed: 20210223 Latest Revision: 20210223
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC7864268
    • الرقم المعرف:
      10.11604/pamj.2020.37.279.26788
    • الرقم المعرف:
      33598093