Key result
A 29-year-old woman with massive subchorionic hemorrhage at 13 weeks gestation required hysterotomy and subsequently underwent hysterectomy due to secondary postpartum hemorrhage from a uterine artery pseudoaneurysm.
Case Report (n=1)
Massive subchorionic hemorrhage can be complicated by secondary postpartum hemorrhage due to uterine artery pseudoaneurysm, which may require prompt surgical intervention such as hysterectomy.
Clinicians should consider pseudoaneurysm in secondary PPH after subchorionic hemorrhage hysterotomy; single case leaves optimal surveillance and prevention open.
Massive subchorionic hemorrhage is a rare but serious condition in pregnancy in which a large amount of blood, mainly maternal collects between the uterine wall and the chorionic membrane and may leak through the cervical canal. Although many associations have been reported, an underlying etiology has not been elucidated. Association of massive subchorionic hemorrhage with thrombophilias have been reported in few articles. We are reporting a case of massive subchorionic hemorrhage presented at 13 weeks of gestation associated with secondary post-partum hemorrhage due to uterine artery pseudoaneurysm.
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Arumaikannu et al. (2017) conducted a case report in Massive subchorionic hemorrhage and secondary postpartum hemorrhage (n=1). Hysterotomy and subsequent hysterectomy was evaluated on Clinical outcome and resolution of bleeding. A 29-year-old woman with massive subchorionic hemorrhage at 13 weeks gestation required hysterotomy and subsequently underwent hysterectomy due to secondary postpartum hemorrhage from a uterine artery pseudoaneurysm.
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