Retroperitoneal hematoma following uncomplicated normal delivery: case report

Document Type : Case report

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, Fellowship of Pelvic Floor Disorders, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Postpartum pelvic hematomas are classified as vulvovaginal, paravaginal and retroperitoneal hematomas. Retroperitoneal hematoma is the most uncommon condition after normal vaginal delivery. In the present study, a rare case of large retroperitoneal hematoma after uncomplicated vaginal delivery is reported.
Case presentation: The patient was a 25-year-old woman P1L1 who was admitted to a university hospital of Mashhad in July 2021 for pregnancy termination due to preeclampsia. She developed dizziness while walking 24 hours after uncomplicated normal vaginal delivery. CT-scan showed large retroperitoneal hematoma.
Conclusion: In the case of any abnormal findings in vital signs after delivery, the diagnosis of pelvic hematomas, especially large retroperitoneal hematoma, should be considered. Prompt diagnosis and treatment of this complication can reduce the risk of maternal morbidity and mortality.

Keywords


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