Immediately following the abortion procedure, the woman experienced uncontrollable hemorrhaging, leading to hemorrhagic shock. She was rushed to the emergency room of the National Hospital of Obstetrics and Gynecology on 19/9. A team of obstetricians, gynecologists, and anesthesiologists immediately began resuscitation efforts. Despite packing her vagina with multiple rolls of gauze to temporarily stop the bleeding, the blood flow was so profuse that it continuously pushed the gauze out.
A Doppler ultrasound revealed that the patient's cervix was abnormally enlarged, measuring about 5-7 cm, with an arterial blood flow from the right uterine artery spurting directly into the injured area. Doctors diagnosed a cervical pregnancy, a rare and extremely dangerous complication, explaining the rapid blood loss.
Doctor Dao Thi Hoa, Head of the Examination Department and the surgeon who operated on the patient, reported that blood spurted out as soon as the uterus was opened. The surgical team had to quickly ligate the right uterine artery, remove blood clots, and suture multiple bleeding points. Simultaneously, the anesthesia and resuscitation team continuously administered fluids and blood transfusions to maintain vital signs.
After several tense hours, the doctors controlled the bleeding and saved the patient's life. "We not only saved her life but also preserved her uterus, helping her avoid long-term complications and maintain her ability to have children," Doctor Hoa shared.
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Doctors operate to save the patient. Photo: Hospital provided |
Doctors operate to save the patient. Photo: Hospital provided
The uterine cavity is the only safe place for a fertilized egg to implant. When the egg implants in the cervix, which is narrow and close to two large uterine arteries, the placenta can invade the blood vessels. A single misstep at a facility lacking expertise can cause the vessels to rupture, leading to massive blood loss and death within minutes.
All ectopic pregnancies are ticking time bombs. Whether the pregnancy is in the abdomen, a previous surgical scar, or the cervix, the consequences can include hemorrhage, hysterectomy, and even death if not handled correctly.
Le Nga