Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL
Joint Authors
Sato, Yuki
Yoshida, Keisuke
Watanabe, Kazuhiro
Sumiyoshi, Miho
Murakawa, Masahiro
Source
Case Reports in Anesthesiology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Disseminated intravascular coagulation (DIC) in obstetrics is related to postpartum hemorrhage and has been a leading cause of maternal death.
We here report a successful treatment, via damage control surgery (DCS), of a life-threatening massive hemorrhage of more than 20,000 mL due to DIC.
A 30-year-old female was admitted to our hospital because of atonic bleeding.
Since she was having a uterine rupture, an emergency hysterectomy was performed.
Because of the severe DIC (fibrinogen, 65 mg/dL; platelet count, 6.0 × 109/L), oozing persisted after the hysterectomy; thus, intraperitoneal gauze packing was performed as DCS.
Afterwards, the coagulopathy was corrected, and the gauze was removed on the second postoperative day (POD 2).
The patient was discharged without complications on POD 16.
The present case demonstrated that performing DCS and waiting for improvement of the coagulation system can be one of the treatment options for management of patients with severe DIC.
American Psychological Association (APA)
Yoshida, Keisuke& Watanabe, Kazuhiro& Sato, Yuki& Sumiyoshi, Miho& Murakawa, Masahiro. 2020. Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL. Case Reports in Anesthesiology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146014
Modern Language Association (MLA)
Yoshida, Keisuke…[et al.]. Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL. Case Reports in Anesthesiology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1146014
American Medical Association (AMA)
Yoshida, Keisuke& Watanabe, Kazuhiro& Sato, Yuki& Sumiyoshi, Miho& Murakawa, Masahiro. Successful Perioperative Management with Damage Control Surgery in a Patient with Massive Postpartum Hemorrhage of More Than 20,000 mL. Case Reports in Anesthesiology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146014
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146014