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Peer-reviewedCC BYCureus

From Hemorrhage to Pyometra: A Complex Postpartum Cascade Following B-Lynch Suturing and Bilateral Internal Iliac Artery Ligation.

  • Sangam Jha1
  • Purnima Sagar1
  • Pammy Pravina1
  • Garima Prajapati1
  • Vikas C Jha2
  1. 1Obstetrics and Gynaecology, All India Institute of Medical Sciences, Patna, Patna, IND.
  2. 2Neurosurgery, All India Institute of Medical Sciences, Patna, Patna, IND.
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Abstract

Postpartum hemorrhage (PPH) due to uterine atony remains a major cause of maternal morbidity and mortality worldwide. When medical therapy fails, conservative surgical measures, such as uterine compression sutures and vascular ligation, are used to control bleeding while preserving fertility. Although generally effective, these procedures may rarely lead to severe complications, including uterine ischemia, infection, and necrosis. We report a case of a primiparous woman who developed primary PPH following normal vaginal delivery and required uterine compression sutures for hemostasis. Subsequently, she developed complete uterine necrosis necessitating hysterectomy.

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Cite

BibTeXRIS
BibTeX
@article{jha2026from,
  title = {{From Hemorrhage to Pyometra: A Complex Postpartum Cascade Following B-Lynch Suturing and Bilateral Internal Iliac Artery Ligation.}},
  author = {Sangam Jha and Purnima Sagar and Pammy Pravina and Garima Prajapati and Vikas C Jha},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.116621},
  url = {https://europepmc.org/article/MED/42909226},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - From Hemorrhage to Pyometra: A Complex Postpartum Cascade Following B-Lynch Suturing and Bilateral Internal Iliac Artery Ligation.
AU  - Sangam Jha
AU  - Purnima Sagar
AU  - Pammy Pravina
AU  - Garima Prajapati
AU  - Vikas C Jha
PY  - 2026
DA  - 2026/09/21
JO  - Cureus
DO  - 10.7759/cureus.116621
UR  - https://europepmc.org/article/MED/42909226
AB  - Postpartum hemorrhage (PPH) due to uterine atony remains a major cause of maternal morbidity and mortality worldwide. When medical therapy fails, conservative surgical measures, such as uterine compression sutures and vascular ligation, are used to control bleeding while preserving fertility. Although generally effective, these procedures may rarely lead to severe complications, including uterine ischemia, infection, and necrosis. We report a case of a primiparous woman who developed primary PPH following normal vaginal delivery and required uterine compression sutures for hemostasis. Subsequently, she developed complete uterine necrosis necessitating hysterectomy.
SN  - 2168-8184
ER  -