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Abstract
Post-partum hemorrhage from inferior epigastric artery after a caesarean section is a rare occurrence and as such has a high potential for both misdiagnosis and delayed diagnosis. Inferior epigastric vascular injury occurs during the dissection and separation of the anterior abdominal walls and has tendency for increased morbidity and mortality in the background of anticoagulation. A high index of suspicion is needed with hemodynamic instability post caesarean section in the absence of vaginal bleeding and surgical intervention is needed in such cases to avert dreadful outcome. Presented in this report was a 37-year-old who had elective repeat caesarean section but developed massive hemoperitoneun with severe anaemia after 48 hours. She had surgical intervention to arrest the bleeding epigastric vessels and made good recovery.
Keywords:
Inferior epigastric artery, post-partum hemorrhage, hemoperitoneum, rectus sheath hematoma
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