PPH with inversion of uterus and trapped bowel loop.

From: tirupati seshasai (drseshasai@yahoo.co.in)
Sun Feb 3 03:34:08 2008


PPH with inversion of uterus and trapped bowel loop.

3rd Para normal vaginal delivery on 31st January 2008 at 4,00pm and at 10.00 pm she had PPH. She was treated for the PPH and transferred for a tertiary care hospital 50 kms away. Her general condition was poor and she appeared paler. Her PR 110/minute and regular. BP 70mm of Hg. P.A;.uterus contracted and bleeding from os seen. She was transfused 5 bags of B+ve cross-matched blood and revived. On 2nd day of postpartum day still she was toxic and hypo-tensive, Explorative laparotomy planned and laparotomy done. 14” bowel loop was gone inside of the inversion of uterus and congested, Total abdominal Hysterectomy done and excision of the small bowel loop of 18” done and anstomosis done, Patient was on ventilator and gradually stabilized.

On 4th she developed renal failure and now she required Dialysis

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