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Laparoscopic treatment of postpartum pre-sacral haematoma


1 Department of Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, Uttarakhand, India
2 Department of Radiology, Synergy Institute of Medical Sciences, Dehradun, Uttarakhand, India
3 Department of Anaesthesia, Synergy Institute of Medical Sciences, Dehradun, Uttarakhand, India
4 Department of Digestive Surgery, Sahloul Hospital, University of Sousse, Sousse, Tunisia

Correspondence Address:
Rahul Gupta,
Department of Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun - 248 001, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_153_20

Postpartum retroperitoneal or pelvic haematomas are rare after vaginal delivery. The clinical presentation can vary from being an incidental finding to the development of life-threatening bleeding. Due to their rarity, there are no established guidelines for the management of these postpartum haematomas. The reported treatments vary from watchful observation to emergent laparotomy. We report a case of postpartum pre-sacral haematoma after uneventful vaginal delivery managed successfully by laparoscopic drainage after the failure of conservative treatment.


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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04