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Re: PPH with inversion of uterus and trapped bowel loop. From: R. Daniel Braun (rd.braun@gmail.com) Sun Feb 3 09:07:14 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop." Previous message: DoctorJoe@aol.com: "Re: Sat : off topic" In reply to: Dr Eberhard W Lisse: "Re: PPH with inversion of uterus and trapped bowel loop." Next in thread: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop." Reply: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop." EL is right. It says on exam the cervix was seen with blood coming through it. If there was a uterine inversion, one shouldn't be able to see the cervix and on manual exam, you would feel the fundus coming through the cervix. So either this was not an inversion or no one who examined her knew what they were seeing or felling. Dan On Feb 3, 2008 10:26 AM, Dr Eberhard W Lisse <el@lisse.na> wrote: > Because they didn't diagnose it? > > el > On Feb 3, 2008, at 17:18, Gerald P. Rodriguez wrote: > > > Why the delay in righting the uterine inversion?? > > > > Gerald P. Rodríguez, M.D., FACOG > > Santa Fe >> > ----- Original Message ----- > > From: tirupati seshasai > > To: Multiple recipients of list OB-GYN-L > > Sent: Sunday, February 03, 2008 3:43 AM > > Subject: PPH with inversion of uterus and trapped bowel loop. > > > > 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 > > > ------------------------------------------------------------------------------ > -------------------------------------------------------------------------> > Bollywood, fun, friendship, sports and more. You name it, we have it. > -------------------------------------------------------------------------> -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine -- R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop." Previous message: DoctorJoe@aol.com: "Re: Sat : off topic" In reply to: Dr Eberhard W Lisse: "Re: PPH with inversion of uterus and trapped bowel loop." Next in thread: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop." Reply: Bernard Cristalli: "Re: PPH with inversion of uterus and trapped bowel loop."

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