Cargando…
Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report
BACKGROUND: Postpartum haemorrhage from vaginal lacerations can occasionally be refractory to suturing and vaginal packing. Bakri uterine balloon has been widely adopted to stop uterine bleeding, but its use to stop bleeding in vaginal lacerations and its possible complications have seldom been repo...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161190/ https://www.ncbi.nlm.nih.gov/pubmed/32293311 http://dx.doi.org/10.1186/s12884-020-02885-0 |
_version_ | 1783522909632856064 |
---|---|
author | Kong, Choi Wah To, William Wing Kee |
author_facet | Kong, Choi Wah To, William Wing Kee |
author_sort | Kong, Choi Wah |
collection | PubMed |
description | BACKGROUND: Postpartum haemorrhage from vaginal lacerations can occasionally be refractory to suturing and vaginal packing. Bakri uterine balloon has been widely adopted to stop uterine bleeding, but its use to stop bleeding in vaginal lacerations and its possible complications have seldom been reported. CASE PRESENTATION: We report a patient who had vacuum delivery for fetal distress and subsequently had postpartum hemorrhage due to previous caesarean uterine scar rupture and multiple vaginal lacerations. The severe bleeding persisted despite total abdominal hysterectomy, pelvic embolization and vaginal gauze packing, but was finally controlled by a Bakri balloon tamponade inserted into the vagina. The patient suffered from severe stress incontinence after delivery. The possible use of balloon tamponade in vaginal lacerations and the different types of vaginal balloons that are available in the market for this purpose are reviewed. The possible causes leading to stress incontinence is reported to alert the obstetrician that such management is not free of complications. CONCLUSION: The use of Bakri balloon can help to control bleeding in severe vaginal lacerations that are unresponsive to traditional vaginal gauze packing. Further studies are needed to evaluate the risks of stress incontinence as a possible complication of vaginal balloon tamponade. |
format | Online Article Text |
id | pubmed-7161190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71611902020-04-22 Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report Kong, Choi Wah To, William Wing Kee BMC Pregnancy Childbirth Case Report BACKGROUND: Postpartum haemorrhage from vaginal lacerations can occasionally be refractory to suturing and vaginal packing. Bakri uterine balloon has been widely adopted to stop uterine bleeding, but its use to stop bleeding in vaginal lacerations and its possible complications have seldom been reported. CASE PRESENTATION: We report a patient who had vacuum delivery for fetal distress and subsequently had postpartum hemorrhage due to previous caesarean uterine scar rupture and multiple vaginal lacerations. The severe bleeding persisted despite total abdominal hysterectomy, pelvic embolization and vaginal gauze packing, but was finally controlled by a Bakri balloon tamponade inserted into the vagina. The patient suffered from severe stress incontinence after delivery. The possible use of balloon tamponade in vaginal lacerations and the different types of vaginal balloons that are available in the market for this purpose are reviewed. The possible causes leading to stress incontinence is reported to alert the obstetrician that such management is not free of complications. CONCLUSION: The use of Bakri balloon can help to control bleeding in severe vaginal lacerations that are unresponsive to traditional vaginal gauze packing. Further studies are needed to evaluate the risks of stress incontinence as a possible complication of vaginal balloon tamponade. BioMed Central 2020-04-15 /pmc/articles/PMC7161190/ /pubmed/32293311 http://dx.doi.org/10.1186/s12884-020-02885-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Kong, Choi Wah To, William Wing Kee Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title | Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title_full | Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title_fullStr | Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title_full_unstemmed | Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title_short | Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
title_sort | use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161190/ https://www.ncbi.nlm.nih.gov/pubmed/32293311 http://dx.doi.org/10.1186/s12884-020-02885-0 |
work_keys_str_mv | AT kongchoiwah useofballoontamponadeinmanagementofvaginallacerationanditspossiblecomplicationofurinarystressincontinenceacasereport AT towilliamwingkee useofballoontamponadeinmanagementofvaginallacerationanditspossiblecomplicationofurinarystressincontinenceacasereport |