Massive atonic bleeding during cesarean delivery in a patient with chronic idiopathic intestinal pseudo-obstruction: A case report and literature review.
idiopathic intestinal pseudo obstruction
megacystis microcolon intestinal peristalsis syndrome
post-partum hemorrhage
pregnancy
uterine atony
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
04
10
2019
revised:
11
02
2020
accepted:
08
06
2020
pubmed:
5
8
2020
medline:
22
6
2021
entrez:
5
8
2020
Statut:
ppublish
Résumé
A 35-year-old primigravid woman with chronic idiopathic intestinal pseudo-obstruction presented to our institution. Except for an enlarged fetal bladder, her pregnancy was almost uneventful until she developed pre-eclampsia requiring emergent cesarean section at 34 weeks gestation. After delivery, intractable uterine atony developed with blood loss reaching 3500 mL within 15 min. Following a B-Lynch suture, the bleeding attenuated but uterine atony persisted; lochia persisted for 3 months post-partum. The infant was diagnosed with megacystis microcolon intestinal hypoperistalsis syndrome after birth. The mother's clinical course and previous reports suggested that atonic bleeding was associated with the pathology of chronic idiopathic intestinal pseudo-obstruction; the infant's disease was considered to be maternal-related disease. Clinicians should be vigilant in pregnant patients with chronic idiopathic intestinal pseudo-obstruction especially with these complications.
Types de publication
Case Reports
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2153-2158Informations de copyright
© 2020 Japan Society of Obstetrics and Gynecology.
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