Case study of atonic internal postpartum haemorrhage following severe preeclampsia and caesarean section


  • Arta Alksnite Department of Medicine, Riga Stradins University, Riga, Latvia
  • Zanis Bordo Department of Medicine, Riga Stradins University, Riga, Latvia
  • Zane Grabe Department of Obstetrics and Gynaecology, Riga East Clinical University Hospital, Riga, Latvia



Intrauterine postpartum haemorrhage, Couvelair's uterus, Caesarean section, Severe preeclampsia, Delayed diagnosis, Postpartum evaluation


Postpartum haemorrhage is most often diagnosed by visualizing external vaginal bleeding, however, in some cases the bleeding may be internal, which significantly increases the risk for delayed diagnosis. We present a case report of a puerperal woman with delayed diagnosis of internal postpartum haemorrhage, which is caused by the development of a Couvelair’s uterus after caesarean section, resulting in an acute hysterectomy.


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