Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Nécrose pariétale utérine partielle après capitonnage hémostatique selon la technique de Cho au cours d'une hémorragie du post-partum [Partial uterine wall necrosis following Cho hemostatic sutures for the treatment of postpartum hemorrhage].
Gynécologie, Obstétrique and Fertilité
A 38-year-old woman, gravida 2, para 2, underwent caesarean section at 41 weeks' gestation and suffered postpartum hemorrhage due to uterine atony. Four Cho sutures were used to control hemorrhage. A systematic postpartum hysteroscopy showed a heterogenous whitish area of the fundus and MRI advocated placental retention. However, hysteroscopically guided biopsies confirmed the diagnosis of partial uterine necrosis. We emphasize the need to undergo postoperative follow-up to confirm uterine wall integrity after placement of compression sutures in order to document the complications of this procedure, which remain under evaluated.
Adult, Cesarean Section, Female, Hemostasis, Surgical/adverse effects, Humans, Necrosis, Postpartum Hemorrhage/surgery, Pregnancy, Suture Techniques/adverse effects, Sutures/adverse effects, Uterus/pathology, Uterus/surgery
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