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

Arta Alksnite, Zanis Bordo, Zane Grabe


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.


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

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