Massive hemoperitoneum due to uterine perforation by the Bakri Balloon, during the treatment of postpartum hemorrhage

G Rocher; P Panel; I Rollin; A Wormser; A Souiai-Hidoussi; P Raynal; Julien Niro

doi:10.1016/j.jogoh.2018.10.005

Massive hemoperitoneum due to uterine perforation by the Bakri Balloon, during the treatment of postpartum hemorrhage

J Gynecol Obstet Hum Reprod. 2019 Jan;48(1):75-76. doi: 10.1016/j.jogoh.2018.10.005. Epub 2018 Oct 11.

Authors

G Rocher¹, P Panel¹, I Rollin¹, A Wormser², A Souiai-Hidoussi¹, P Raynal¹, Julien Niro¹

Affiliations

¹ Department of Gynecology and Obstetrics, Versailles Hospital, Le Chesnay, France.
² Department of Anesthesia and Reanimation, Versailles Hospital, Le Chesnay, France.

PMID: 30315886
DOI: 10.1016/j.jogoh.2018.10.005

Abstract

The current case describes a very rare complication of Bakri Balloon during the treatment of postpartum hemorrhage; a massive hemoperitoneum with a hemodynamic shock, due to a migration through the right broad ligament, with an anterior uterine rupture, and an irreversible wound of the right uterine artery. This event occurred even if the unfold placement was controlled with ultrasound guidance, to a patient who has never had abdominal surgery (Cesarean section included).

Keywords: Bakri Balloon; Intra uterine balloon; Tamponade balloon; Uterine perforation; Uterine rupture.

Publication types

Case Reports
Letter

MeSH terms

Adult
Female
Hemoperitoneum / etiology*
Humans
Postpartum Hemorrhage / therapy*
Uterine Artery / injuries*
Uterine Balloon Tamponade / adverse effects*
Uterine Perforation / etiology*