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February 12, 2026International Journal of Surgery Case ReportsOpen Access

Concurrent uterine rupture and refractory uterine atony leading to catastrophic postpartum hemorrhage: a case report

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Authors

FFFaishal Arif FathurrahmanAirlangga UniversityKSKohar Hari SantosoAirlangga UniversityMFMariza FitriatiAirlangga University

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Implication

A case report reveals the impact of concurrent uterine rupture and atony on maternal hemorrhage, highlighting urgent intervention needs.

Key Points

  • The aim is to discuss the concurrent occurrence of uterine rupture and refractory uterine atony causing severe postpartum hemorrhage.
  • Case presentation of a multiparous woman with PPH
  • Managed with uterotonic therapy, uterine massage, and fluids
  • Emergency total abdominal hysterectomy performed
  • Massive transfusion protocol utilized including whole blood and platelets
  • Abdominal ultrasound confirmed intra-abdominal hemorrhage.
  • Massive PPH persisted despite maximized medical interventions
  • Emergency hysterectomy was life-saving
  • Uncrossmatched blood use and transfusion helped stabilize patient
  • Multidisciplinary approach was essential for recovery

Cite This Study

Fathurrahman et al. (2026) studied this question.

synapsesocial.com/papers/698d6f0d5be6419ac0d550bdhttps://doi.org/10.1097/rc9.0000000000000204
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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