Conservative management of a recurrent puerperal uterine inversion with bakri^® balloon tamponade

Jesús Joaquín Hijona Elósegui, Francisco Javier Frutos Arenas, Antonio Carballo García, Juan Antonio López López, Gabriel Castilla Peinado Peinado, Juan Manuel Torres Martí

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DOI: 10.4236/ojog.2011.14038                

Abstract

Puerperal Uterine Inversion (PUI) is a rare but potentially life-threatening delivery complication in which the uterine fundus collapses within the endometrial cavity. This “glove-finger” introflexion of uterine walls generally occurs as an immediate postpartum complication and is responsible of different degrees of vaginal bleeding, shock and hypogastric pain that can cause serious maternal complications, including death. There are few reports of recurrent postpartum uterine inversion like the one we present here, and its causes remain unclear. Early diagnosis of this complication is crucial as it is the only one measure that can allow a successful and conservative treatment: an inverse relationship between the time that uterus keeps inverted and the probability of repositioning has been firmly established. This case report describes the exceptional and innovative use of the SOS Bakri^® balloon (Cook Medical Incorporated) in the management of a recurrent puerperal uterine inversion. To our knowledge it is one of the first reports in the world of this procedure, perhaps the second one after Soleymani’s et al description; and the first one in a third degree recurrent puerperal uterine inversion.

Keywords

Balloon Tamponade; Intrauterine; Management; Postpartum Haemorrhage; Uterine Inversion; Review; Treatment

Conflicts of Interest

The authors declare no conflicts of interest.

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