Published: 23 September 2020
Author(s): Keizo Tanitame, Chinatsu Akagi, Nobuyuki Kamaki
Issue: January 2021
Section: Internal Medicine Flashcards

A 37-year-old woman with postpartum hemorrhage was transferred by ambulance to our hospital for emergency treatment. On arrival massive hemorrhage continued, and she developed tachycardia (130 beats/min), hypotension (60/30 mm Hg) and tachypnea (50 /min). She underwent blood transfusion and emergent hysterectomy, and her vital signs became stable. The estimated total bleeding volume was approximately 8 L, and pathological examination revealed placenta accreta. Five days later, she had disturbance of consciousness.

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