PPH with inversion of uterus and trapped bowel loop.
From: tirupati seshasai (drseshasai@yahoo.co.in)
Sun Feb 3 03:41:21 2008
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<DIV><FONT face="Lucida Sans" color=#800000>Why the delay in righting the
uterine inversion??</FONT></DIV>
<DIV><FONT face="Lucida Sans" color=#800000></FONT> </DIV>
<DIV><FONT face="Lucida Sans" color=#800000>Gerald P. Rodríguez, M.D.,
FACOG</FONT></DIV>
<DIV><FONT face="Lucida Sans" color=#800000>Santa Fe</FONT></DIV>
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> <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A title=drseshasai@yahoo.co.in href="mailto:drseshasai@yahoo.co.in">tirupati
seshasai</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A title=ob-gyn-l@mail.obgyn.net
href="mailto:ob-gyn-l@mail.obgyn.net">Multiple recipients of list OB-GYN-L</A>
</DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Sunday, February 03, 2008 3:43
AM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> PPH with inversion of uterus and
trapped bowel loop.</DIV>
<DIV><BR></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">PPH with inversion of
uterus and trapped bowel loop.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><o:p><FONT
face="Times New Roman"> </FONT></o:p></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><o:p><FONT
face="Times New Roman"> </FONT></o:p></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">3rd <st1:place
w:st="on">Para</st1:place> 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<SPAN style="mso-spacerun: yes">
</SPAN>50 kms away. Her general condition was poor and she appeared
paler.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">Her PR 110/minute and
regular.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">BP 70mm of
Hg.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">P.A;.uterus contracted
and bleeding from os seen.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">She was transfused 5 bags
of B+ve cross-matched blood and revived.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">On 2nd day of postpartum
day still she was toxic and hypo-tensive,<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">Explorative laparotomy
planned and laparotomy done.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">14” bowel loop was gone
inside of the inversion of uterus and
congested,<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">Total abdominal
Hysterectomy done and excision of the small bowel loop of 18” done and
anstomosis done, Patient was on ventilator and gradually
stabilized.<o:p></o:p></FONT></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><o:p><FONT
face="Times New Roman"> </FONT></o:p></SPAN></DIV>
<DIV class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN
style="FONT-SIZE: 16pt"><FONT face="Times New Roman">On 4<SUP>th</SUP> she
developed renal failure and now she required
Dialysis<o:p></o:p></FONT></SPAN></DIV><BR><BR>
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