Retroperitoneal Hematoma after Birth due to Iliac Vascular Injury: a Case Report and Review of Literature

Abstract

Retroperitoneal hematomas (RPH), which are less common than puerperal hematomas, are an important cause of maternal morbidity and mortality due to difficulty in diagnosis and underlying cause. Although different vessel damage is reported in the literature as a cause of RPH, iliac vascular injury after vaginal delivery has not been defined at all. We presented a case who presented with general condition disturbance and developed RPH due to right iliac artery and vein damage in the third day after vaginal delivery. The patient who was diagnosed with computed tomography and who underwent surgery following his admission to the hospital was accepted to the exitus after the third cardiac arrest failed. Although, it is often difficult to diagnose, even with rapid diagnosis and effective treatment, maternal mortality may develop in RPHs.