Abstract

A 33-year-old para 2 presented with heavy vaginal bleeding on postoperative day 4 after an uncomplicated hysteroscopic myomectomy of 2 posterior submucosal fibroids (3 cm, 1 cm). Her history was notable for a term cesarean delivery 5 years earlier, a hysteroscopic myomectomy 3 years earlier, and a vaginal breech delivery 1 year earlier. Her vital signs were stable and abdominal examination was unremarkable. Pelvic examination revealed 10 cc of pooled blood upon speculum insertion. The cervical os was closed without significant active bleeding.

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