Successful management of life threatening post partum haemorrage by uterine artery embolisation [UAE]

We report on a case of a 23 year old primigravida with intractable atonic life threatening post partum hemorrhage [PPH] following a normal vaginal delivery. The PPH was resistant to conventional medical procedures to arrest the bleeding. She was successfully treated non-surgically with Uterine Artery Embolization [UAE]. UAE is not only a life saving procedure, but may theoretically allow conservation of future fertility

Management of a heterotopic pregnancy presenting with haemorrhagic shock and massive haemoperitoneum

The incidence of heterotopic pregnancy is on the rise, from 1 in 30000 pregnancies, to as high as 1 in 3800 today. We report here a case of a 31-year-old Asian lady who presented with sudden onset of acute abdominal pain and massive haemoperitoneum. An ultrasound scan confirmed a viable 10 weeks intrauterine pregnancy, with massive free fluid in the abdomen warranting surgery. A provisional diagnosis of a ruptured corpus luteal cyst/ ruptured ectopic/ heterotopic pregnancy was made. Laparoscopy revealed a bleeding ectopic pregnancy in the isthmus region of the right tube, which was treated by linear salpingotomy. Skilled surgical expertise in dealing with the massive haemoperitoneum enabled us to accomplish the surgery with minimal trauma to the continuing intrauterine pregnancy