Authors
Turaeva R.R.1, Katsyuba M.S.1, 2, Zhiburt E.B.3
1 Republican Clinical Hospital, Kazan
2 Kazan State Medical Academy – branch of the Federal State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Continuing Professional Education», Kazan
3 Pirogov National Medical and Surgical Center, Moscow
Abstract
The article presents a clinical observation of a 35-year-old female patient with the diagnosis: Late postpartum hemorrhage. Hematometra with a pulsating vessel in the uterine cavity. 15th day after the first term delivery. Underlying disease: stage 1 anemia (hemoglobin concentration 93 g / l). Embolization of the uterine arteries was performed. Blood transfusions were not performed. The postoperative period was uneventful. The patient was discharged home in a satisfactory condition on the 5th day after the operation. Hemoglobin concentration at discharge was 92 g / l. It is concluded that organ-preserving surgery of uterine artery embolization can be an effective method for reducing perioperative blood loss in patients with secondary postpartum hemorrhage.
Keywords: late (secondary) postpartum hemorrhage, hematometra, uterine artery embolization, blood conservation.
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