Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 1 2021
A Case of Third Degree Hemorrhagic Shock due to Total Subacute Uterine Inversion after Delivery
Dublin Core
Title
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 1 2021
A Case of Third Degree Hemorrhagic Shock due to Total Subacute Uterine Inversion after Delivery
A Case of Third Degree Hemorrhagic Shock due to Total Subacute Uterine Inversion after Delivery
Subject
postpartum hemorrhage, risk factor, uterine inversion
Description
Uterine inversion is a rare, but life-threatening obstetric emergency. We describe a case of total subacute uterine inversion in settings with limited resources. A multiparous (P4) 29-year-old woman with history of delivery assisted by a traditional birth attendant who used the fundal pressure technique 4 days before admission was referred due
to postpartum hemorrhage. She had low blood pressure, tachycardia, and lethargic. A protruding mass from the vaginal introitus with active bleeding was visible. She diagnosed with third degree hemorrhagic shock due to total subacute uterine
inversion. Resuscitation was initiated immediately and manual uterine repositioning was performed under general anesthesia. After two failed attempts, a laparotomy was performed to apply traction to the round ligaments and an incision on the cervical ring by using Allis clamps. The inversion was resolved. Next, subtotal hysterectomy was done to stop bleeding and infection.
to postpartum hemorrhage. She had low blood pressure, tachycardia, and lethargic. A protruding mass from the vaginal introitus with active bleeding was visible. She diagnosed with third degree hemorrhagic shock due to total subacute uterine
inversion. Resuscitation was initiated immediately and manual uterine repositioning was performed under general anesthesia. After two failed attempts, a laparotomy was performed to apply traction to the round ligaments and an incision on the cervical ring by using Allis clamps. The inversion was resolved. Next, subtotal hysterectomy was done to stop bleeding and infection.
Creator
William Timotius Wahono, Angela Putri, Yudianto Budi Saroyo, Antonius Joko Nugroho, Ruth Sally, Sugianto Parulian Simanjuntak, Samuel
Publisher
Fakultas Kedokteran Universitas Indonesia
Date
2021-03-31
Contributor
Sri Wahyuni
Rights
ISSN : 0853-1773
Format
PDF
Language
English
Type
Text
Coverage
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 1 2021
Files
Citation
William Timotius Wahono, Angela Putri, Yudianto Budi Saroyo, Antonius Joko Nugroho, Ruth Sally, Sugianto Parulian Simanjuntak, Samuel, “Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 1 2021
A Case of Third Degree Hemorrhagic Shock due to Total Subacute Uterine Inversion after Delivery,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/959.
A Case of Third Degree Hemorrhagic Shock due to Total Subacute Uterine Inversion after Delivery,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/959.