Nécrose pariétale utérine partielle après capitonnage hémostatique selon la technique de Cho au cours d’une hémorragie du post-partum
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- 作者：L. Reyftmann ; A. Nguyen ; V. Ristic ; C. Rouleau ; N. Mazet ; H. Dechaud
- 关键词：Compression sutures ; Cho ; Postpartum hemorrhage ; Ischemic necrosis
- 刊名：Gynecology Obstetrique & Fertilite
- 出版年：2009
- 出版时间：June 2009
- 年：2009
- 卷：37
- 期：6
- 页码：579-582
- 全文大小：2025 K
文摘
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.