Puerperal hematomas are rare, yet often life threatening, complications following vaginal deliveries. The etiology remains broad; however, early recognition is vital in preventing postpartum hemorrhage and maternal death. Our case illustrates treatment of a supralevator hematoma with angiographic embolization following a spontaneous vaginal delivery in a young woman. Her labor course was complicated by persistent occiput posterior presentation that failed spontaneous and manual rotation.
Vaginal delivery, persistent occiput posterior, puerperal hematoma
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Fahimuddin FZ, Seid A, Agrawal A. Successful management of a supralevator intraperitoneal puerperal hematoma with angiographic embolization. Proc Obstet Gynecol. 2019 Aug 29;9(1):Article 4 [6 p.]. https://doi.org/10.17077/2154-4751.1403. Free full text article.