Successful management of a supralevator intraperitoneal puerperal hematoma with angiographic embolization

Fatimah Z. Fahimuddin, Department of Obstetrics and Gynecology, University of California, San Francisco - Fresno Medical Education Program, Fresno, CA
Andrea Seid, Department of Obstetrics and Gynecology, University of California, San Francisco - Fresno Medical Education Program, Fresno, CA
Anubhav Agrawal, Department of Obstetrics and Gynecology, University of California, San Francisco - Fresno Medical Education Program, Fresno, CA

Abstract

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.

 

URL

https://ir.uiowa.edu/pog_in_press/92