Non-invasive management of acute recurrent puerperal uterine inversion with Bakri postpartum balloon

Kaya, Barış; Tüten, Abdullah; Çelik, Havva; Mısırlıoğlu, Mesut; Ünal, Orhan

doi:10.1007/s00404-013-2993-7

Cited by 11 publications

(4 citation statements)

References 5 publications

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“…She underwent combined treatment with Bakri tamponade balloon insertion, for uterine replacement, unilateral UAE, for bleeding control, and DIC without surgical interventions. Since we could preserve her fertility by performing unilateral UAE, a minimally invasive procedure, we reported this case with consideration of reviews of past reports [ 3 – 6 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…When uterine inversion is recognized, immediate replacement must be performed, and close follow-up is required. If prompt diagnosis and appropriate treatment are performed, in most cases, patients can recover with fewer invasive approaches, such as Bakri balloon tamponade insertion [ 3 – 6 ]. We also tried to control the bleeding by this intervention first.…”

Section: Discussionmentioning

confidence: 99%

“…However, since it causes massive postpartum blood loss due to uterine atony, prompt diagnosis and management are needed for replacement of the inverted uterus and control of the hemorrhage. When the treatments are performed early, the patient recovers with relatively less invasive management, such as manual replacement and Bakri postpartum balloon insertion into the repaired uterine cavity [ 3 – 6 ]. On the other hand, if postpartum bleeding becomes uncontrollable, various invasive interventions, including blood transfusion and surgical approaches, may be needed.…”

Section: Introductionmentioning

confidence: 99%

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Unilateral uterine artery embolization and Bakri tamponade balloon insertion in the treatment of acute puerperal uterine inversion: a case report

et al. 2022

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Background Acute puerperal uterine inversion is rare but may cause massive postpartum blood loss due to uterine atony. Therefore, these patients must be diagnosed, and uterine replacement must be performed as soon as possible. However, in some cases, active bleeding due to uterine atony becomes uncontrollable, even though the uterine inversion itself is treated. In these cases, additional treatments, including surgical procedures, are needed. Case presentation A 41-year-old Japanese woman, gravida 1, para 0, was hospitalized for labor induction at 40 weeks and 3 days of gestational age. She had a vacuum-assisted delivery after 3 days of oxytocin administration, but acute uterine inversion occurred. Although replacement of the inverted uterus was successful by manual repositioning and Bakri balloon tamponade insertion, massive postpartum hemorrhage caused by uterine atony became uncontrollable. In this situation, since disseminated intravascular coagulation had developed, we used uterine artery embolization to stop the bleeding. After detecting the pseudo-aneurysmal sac and tortuous vessels of the right uterine artery, transcatheter right-sided uterine artery embolization was performed. Thirteen days after uterine artery embolization, she was discharged with no complications. Conclusions In cases of disseminated intravascular coagulation caused by massive postpartum bleeding, uterine artery embolization may often be selected. In our case, since we performed angiography to detect the main bleeding site, the hemorrhage could be stopped with unilateral uterine artery embolization alone, without hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unilateral uterine artery embolization and Bakri tamponade balloon insertion in the treatment of acute puerperal uterine inversion: a case report

et al. 2022

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“…Clamping the cervix with two ring forceps has been described once [19] in the management of PPH to prevent ballooning of the device into the vagina. Kaya et al [20] and Soleymani Majd et al [21] have described the use of Bakri balloon to control recurrent uterine inversion without the use of cervical cerclage. So to the best of our knowledge, this is the first reported case of the use of uterine balloon tamponade device and a cervical cerclage to correct chronic partial inversion of the uterus during the peuperium.…”

Section: Discussionmentioning

confidence: 99%

Uterine Balloon Tamponade Device and Cervical Cerclage to Correct Partial Uterine Inversion during Puerperium; Case Report

Marasinghe

Epitawela

Cole

et al. 2015

Gynecol Obstet Invest

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A healthy 26-year-old woman was noted to have residual uterine inversion after manual replacement of puerperal uterine inversion under general anaesthesia. This was corrected by the insertion of a balloon tamponade device. A cervical suture was applied to prevent ballooning of the device through the cervix. This little modification was immediately successful in preventing ballooning of the tamponade device. The whole idea was to overcome the need for a laparotomy. A review of the literature and the mechanism of action are discussed here.

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An easy insertion procedure of Bakri balloon during cesarean section for placenta previa: use of Nelaton rubber catheter

Matsubara

2014

Arch Gynecol Obstet

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Non-invasive management of acute recurrent puerperal uterine inversion with Bakri postpartum balloon

Cited by 11 publications

References 5 publications

Unilateral uterine artery embolization and Bakri tamponade balloon insertion in the treatment of acute puerperal uterine inversion: a case report

Unilateral uterine artery embolization and Bakri tamponade balloon insertion in the treatment of acute puerperal uterine inversion: a case report

Uterine Balloon Tamponade Device and Cervical Cerclage to Correct Partial Uterine Inversion during Puerperium; Case Report

An easy insertion procedure of Bakri balloon during cesarean section for placenta previa: use of Nelaton rubber catheter

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