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Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon

Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversi...

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Autores principales: Ida, Akinori, Ito, Koichi, Kubota, Yoko, Nosaka, Maiko, Kato, Hiroshi, Tsuji, Yoshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410535/
https://www.ncbi.nlm.nih.gov/pubmed/25954560
http://dx.doi.org/10.1155/2015/424891
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author Ida, Akinori
Ito, Koichi
Kubota, Yoko
Nosaka, Maiko
Kato, Hiroshi
Tsuji, Yoshiyuki
author_facet Ida, Akinori
Ito, Koichi
Kubota, Yoko
Nosaka, Maiko
Kato, Hiroshi
Tsuji, Yoshiyuki
author_sort Ida, Akinori
collection PubMed
description Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of severe lower abdominal pain; subsequently, hemorrhage was noted at the site of partial detachment of the placenta. These findings led to a diagnosis of placenta accreta, and the patient developed a state of shock. A Bakri postpartum balloon was inserted into the uterine cavity under ultrasonographic guidance and was filled with physiological saline for treatment of this condition. With this procedure, the uterine inversion was completely reduced and the hemorrhage was stopped. Moreover, no reinversion was observed in the postoperative period. These findings suggest that a Bakri postpartum balloon can be used to noninvasively reduce uterine inversion and prevent its recurrence.
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spelling pubmed-44105352015-05-07 Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon Ida, Akinori Ito, Koichi Kubota, Yoko Nosaka, Maiko Kato, Hiroshi Tsuji, Yoshiyuki Case Rep Obstet Gynecol Case Report Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of severe lower abdominal pain; subsequently, hemorrhage was noted at the site of partial detachment of the placenta. These findings led to a diagnosis of placenta accreta, and the patient developed a state of shock. A Bakri postpartum balloon was inserted into the uterine cavity under ultrasonographic guidance and was filled with physiological saline for treatment of this condition. With this procedure, the uterine inversion was completely reduced and the hemorrhage was stopped. Moreover, no reinversion was observed in the postoperative period. These findings suggest that a Bakri postpartum balloon can be used to noninvasively reduce uterine inversion and prevent its recurrence. Hindawi Publishing Corporation 2015 2015-04-12 /pmc/articles/PMC4410535/ /pubmed/25954560 http://dx.doi.org/10.1155/2015/424891 Text en Copyright © 2015 Akinori Ida et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ida, Akinori
Ito, Koichi
Kubota, Yoko
Nosaka, Maiko
Kato, Hiroshi
Tsuji, Yoshiyuki
Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title_full Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title_fullStr Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title_full_unstemmed Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title_short Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon
title_sort successful reduction of acute puerperal uterine inversion with the use of a bakri postpartum balloon
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410535/
https://www.ncbi.nlm.nih.gov/pubmed/25954560
http://dx.doi.org/10.1155/2015/424891
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