Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage

Authors

  • Vidyadhar B Bangal RMC, Loni
  • Fernandes Denita Postgraduate Student (MS) Dept. of Obstetrics and Gynecology Rural Medical College of Pravara Institute of Medical Sciences .
  • Shravani Chalasani Postgraduate Student (MS) Dept. of Obstetrics and Gynecology Rural Medical College of Pravara Institute of Medical Sciences
  • Kanika Gupta Postgraduate Student (MS),Dept. of Obstetrics and Gynecology, Rural Medical College of Pravara Institute of Medical Sciences
  • Pushpanjali Singh Postgraduate Student (MS), Dept. of Obstetrics and Gynecology, Rural Medical College of Pravara Institute of Medical Sciences

DOI:

https://doi.org/10.7439/ijbar.v5i11.936

Abstract

Atonic postpartum haemorrhage (PPH) following caesarean section is serious complication. It is usually managed by administration of different oxytocic drugs in combination. Per abdomainal intermittent gentle massage of the uterus is known to improve uterine tone. A case of rectus sheath hematoma trickling down to peritoneal cavity following vigorous per abdominal uterine massage for long duration to control atonic postpartum haemorrhage in a case of pregnancy induced hypertension ,who had undergone caesarean section after failed induction is reported Patient underwent laparotomy for control of bleeding from traumatised vessels of the abdominal wall. She required multiple units of blood transfusion and intensive care monitoring for short duration. She had rapid post operative recovery.

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Author Biography

  • Vidyadhar B Bangal, RMC, Loni
    Professor , Dept. of Obstetrics and Gynaecology,Rural Medical College, Loni, Maharashtra, India

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Published

2014-11-30

Issue

Section

Case Report

How to Cite

Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage. (2014). International Journal of Biomedical and Advance Research, 5(11), 573-575. https://doi.org/10.7439/ijbar.v5i11.936