Re: PPH with inversion of uterus and trapped bowel loop.
From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Feb 3 09:24:26 2008
There are partial inversions, the diagnosis is done with abdominal
palpation.
Bernard
R. Daniel Braun a écrit :
> 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
> <mailto: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
