LOW-GRADE ENDOMETRIOID CARCINOMA PRESENTING AS SECONDARY POSTPARTUM HEMORRHAGE: A RARE CASE REPORT

Endometrial cancer is a rare occurrence in reproductive-aged women, particularly in association with pregnancy or the postpartum period. This case report describes a 28-year-old woman who presented with secondary postpartum hemorrhage (PPH) 10 days after a normal vaginal delivery. Despite the absence of gynecological history and initial normal findings on ultrasound, persistent bleeding led to surgical intervention with a total abdominal hysterectomy. Histopathological examination revealed low-grade endometrioid carcinoma of the uterine corpus associated with arteriovenous malformation. This case highlights the unusual presentation of endometrial cancer during reproductive years, its management, and the importance of considering malignancy in cases of unexplained secondary PPH. Although low-grade endometrial cancer generally has a favorable prognosis, follow-up and complete surgical staging are critical for optimal management and long-term outcomes.