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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
The utility of Doppler ultrasonography in diagnosis of delayed postpartum hemorrhage: a case report
D.H. Im1, J.M. Byun1, 2, *, H.S. Jung3, D.H. Jeong1, 2, B.J. Min1, Y.N. Kim1, 2, E.J. Jung1, K.B. Lee1, 2, M.S. Sung1, 2, K.T. Kim1, 2
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1
Department of Obstetrics and Gynecology, Busan Paik Hospital, Inje University, Busan, South Korea
2
Paik Institute for Clinical Research, Busan Paik Hospital, Inje University, Busan, South Korea
3
Department of Radiology, Busan Paik Hospital, Inje University, Busan, South Korea
Clin. Exp. Obstet. Gynecol. 2018, 45(6), 946–948;
https://doi.org/10.12891/ceog4523.2018
Published: 10 December 2018
Abstract
Although uncommon, delayed postpartum hemorrhage (PPH) can be caused by uterine arteriovenous malformation (AVM), which can lead to severe mortality and morbidity in the mother. Therefore, accurate diagnosis and rapid treatment of uterine AVM may have a significant impact on a patient’s prognosis. In the present case, the patient had vaginal bleeding two weeks after the cesarean section and was referred to the present hospital. She was diagnosed quickly with AVM by Doppler ultrasonography and treated with selective uterine artery embolization leading to a full recovery. Here the authors report the usefulness of Doppler ultrasound for early diagnosis of uterine AVM causing delayed PPH in the light of this case.
Keywords
Delayed postpartum hemorrhage
Arteriovenous malformation
Doppler ultrasound