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Year : 2020  |  Volume : 37  |  Issue : 1  |  Page : 195-197

A case of Couvelaire uterus with coagulation dysfunction saved successfully with SR PPH suction cannula

1 Department of Obstetrics and Gynecology, Sandhyaram Maternity Hospital, Katampazhi Puram, Palakkad Dst., Kerala, India
2 Department of Obstetrics and Gynecology, Government Maternity Hospital, Sri Venkateswara Medical College, Thirupathi, Chitto, Andhra Pradesh, India

Correspondence Address:
Dr. Hemmanur Samartha Ram
Sandhya Ram Maternity Hospital, Katampazhipuram, Palakkad - 678 633, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/TJOG.TJOG_73_19

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Couvelaire uterus is one of the complications associated with placental abruption, and the incidence is around 1%. Blood seeps into the uterine musculature and reaches beneath the serosa. The uterus shows the signs of ecchymosis, flabby, cannot contract and retract and results in atonic post partum hemorrhage (PPH). As this uterus likely to bleed in postoperativee period, the treatment of choice is obstetric hysterectomy. In such cases, the women lose their fertility function. In this case, we have successfully used samartha ram post partum hemorrhage (SR PPH) suction cannula to achieve contraction and retraction and saved the uterus.

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