Uterine Necrosis Following a Combination of Uterine Compressions and Vascular Ligation in Postpartum Hemorrhage: A Case Report

Postpartum hemorrhage with uterine atony is a major cause of maternal mortality and morbidity [1]. In cases of severe post-partum hemorrhage (PPH) resistant to medical treatment, advances in interventional radiology and, above all, surgical techniques have provided safe and effective alternatives to hysterectomy [2]. We report here the case of a 36-year-old woman who underwent B-Lynch compression suture and triple ligation with ligation of the left hypogastric artery following postpartum hemorrhage complicated by uterine atony. The patient presented with a febrile plateau, diarrhea and fecal vomiting with a positive infectious work-up. Imaging showed a globular uterus with no enhancement of the left corporofundal region, suggesting uterine necrosis. She underwent a hysterectomy, which confirmed necrosis of the left uterus, with a good clinical and biological evolution.