Delayed postpartum hemorrhage in adenomyosis: a case report
Case report
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⤵ 9 in-corpus citations
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This case report details a woman with adenomyosis who experienced severe, intractable postpartum hemorrhage 20 days after delivery, ultimately requiring a hysterectomy.
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Abstract
Adenomyosis of the uterus is a serious problem for women of reproductive age because of its possible consequence of infertility. We present the case of a woman who had adenomyosis of the uterus, a successful spontaneous pregnancy, and delayed and tenacious postpartum hemorrhage that did not respond to conservative treatment. The 26-year-old woman, gravida 1, para 1, suffered from fulminating vaginal bleeding and associated shock 20 days after the delivery of a 3,450-g female by Cesarean section. Conservative treatment included uterine compression and massage, blood transfusion, intravenous administration of high-dosage estrogen, oxytocin and sulprostone (prostaglandin E analogue), and gauze packing from the vagina into the uterine cavity. Despite treatment, the patient went into shock due to persistent vaginal bleeding. Emergency exploratoric assessment laparotomy was performed, followed by a stotal hysterectomy. Pathology revealed extensive adenomyosis of the uterus without other significant abnormality. The potential dangers of adenomyosis in pregnancy should not be overlooked when patients seek treatment for infertility.
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Cited by (9)
- Adenomyosis and infertility 2021
- Endometriosis 2020
- Benefits of Surgical Intervention in Women with Endometriosis-Related Infertility 2020
- Treatment options and reproductive outcome for adenomyosis-associated infertility 2017
- The Incidence and Clinical Significance of Adenomyosis 2015
- Conservative surgical treatment of adenomyosis to improve fertility: Controversial values, indications, complications, and pregnancy outcomes 2015
- Preterm delivery in a primigravida with uterine adenomyosis 2010
- Adenomiosis 2006
- Adénomyose 2006
Source provenance
- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T22:00:48.437354+00:00
License: CC0
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