Re: OB: this ever happened to you before?

From: art fougner, md (evsono@pipeline.com)
Mon Mar 8 13:16:30 2004


Great Save, Geff!

there's a dearth of literature on the subject - this case deserves a write up!

Glinski S. Related Articles, Links [Hemorrhage from a ruptured varicose vein of the posterior uterine wall in term pregnancy] Ginekol Pol. 1971 Aug;42(8):1053-5. Polish. No abstract available

that's about it on PubMed

art

At Mon, 8 Mar 2004, Geffrey Klein, MD wrote: >
>Primigravida labored and delivered this AM. I was called to return to
>the unit 15 min later due to tachycardia and hypotension. No vaginal
>bleeding, uterus was firm. No perineal hematoma noted. She was very
>pale and was complaining of shoulder pain.
>
>I figured she was having intra-abdominal bleeding. So, stat H/H was
>drawn and we went to the OR. Just before starting the surgery, her H/H
>was 7.2/21 (pre del was 11/32)
>
>Opened her peritoneal cavity and there was 2 liter of blood. Uterus was
>exteriorized and there was a brisk bleeder from the posterior right
>uterus where a plexus of varicose veins was noted. There was no uterine
>rupture. This was repaired with suture ligation and 4 units of blood
>were given.
>
>Anyone ever had this happen before? What about future pregnancy? Thanks…
>
>--
>_______________________
>Geffrey H. Klein, MD
>_______________________
>_______________________
>gklein@icsi.net
>450 Blossom Suite C
>Webster, TX 77598
>

--
art fougner, md
ich bin ein New Yorker




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