Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section

A J Vivanti; E Furet; J Nizard

doi:10.1016/j.jgyn.2016.03.009

Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section

J Gynecol Obstet Hum Reprod. 2017 Jan;46(1):101-102. doi: 10.1016/j.jgyn.2016.03.009. Epub 2016 Apr 23.

Authors

A J Vivanti¹, E Furet¹, J Nizard²

Affiliations

¹ Department of obstetrics and gynaecology, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France.
² Department of obstetrics and gynaecology, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Sorbonne université, UPMC université Paris 06, CNRS UMR 7222, Inserm U1150, 75005 Paris, France. Electronic address: jacky.nizard@aphp.fr.

PMID: 28403951
DOI: 10.1016/j.jgyn.2016.03.009

Abstract

Acute puerperal inversion of the uterus is a rare life-threatening obstetric emergency, especially during caesarean section. We present the case of a 30-year-old patient with acute puerperal inversion of the uterus that occurred during placental removal. After a quick reversion of the uterus, an immediate postpartum haemorrhage (PPH) due to massive uterine atony was observed. This atony impacted the whole uterus, with a very thin uterine myometrium. The use of a Bakri Tamponade Balloon use allowed treating extreme uterine atony, immediately stop haemorrhage, and prevent a possible risk of immediate recurrence.

Keywords: Bakri Tamponade Balloon; Caesarean section; Postpartum haemorrhage; Uterine inversion.

Publication types

Case Reports

MeSH terms

Adult
Cesarean Section*
Female
Humans
Postpartum Hemorrhage / etiology
Postpartum Hemorrhage / therapy*
Pregnancy
Uterine Balloon Tamponade / instrumentation*
Uterine Inertia / therapy*
Uterine Inversion / therapy*