Ultrasonographic visualization of balloon placement for uterine tamponade in massive primary postpartum hemorrhage

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
Y ChoG S Condous

Abstract

This case report is the first documentation of ultrasonographic confirmation of positioning of a Sengstaken-Blakemore balloon catheter (SBEC) in the management of massive postpartum hemorrhage. The sonongraphic position, while incorrect according to conventional use of uterine balloon catheters, raises the possibility of an alternative mechanism of action of the balloon: not uterine cavity tamponade but hydrostatic pressure directly around the uterine arteries, a mechanism akin to mechanical uterine artery embolization or ligation. If this hypothesis is correct, it not only elucidates how balloon tamponade works but also challenges current thinking on how postpartum hemorrhage should be managed effectively. Future studies are required to corroborate this hypothesis and we believe that sonographic confirmation of balloon catheter location should be an integral part of uterine balloon tamponade in women with massive primary postpartum hemorrhage.

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Citations

Nov 23, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Michael M Beckmann, Jacqueline Chaplin
Dec 3, 2014·Journal de gynécologie, obstétrique et biologie de la reproduction·O MorelA-C Chabot-Lecoanet
Jun 10, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J-Y YanS-H Lin
Apr 10, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·A FlorianC Duvivier
Aug 1, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Emmanuelle VintejouxVincent Letouzey
Aug 22, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·George Condous
May 13, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·C Georgiou
Aug 11, 2011·The Journal of Obstetrics and Gynaecology Research·Takako IshiiTadashi Kimura
Feb 15, 2011·IEEE Pulse·Paul LaBarre
Jul 2, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jeevan P MarasingheMark P Umstad
Aug 30, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·D UygurA N Danisman
Nov 9, 2016·American Journal of Obstetrics and Gynecology·Brett D EinersonEmily S Miller
Sep 24, 2016·Obstetrics and Gynecology·Jeevan Prasanga Marasinghe
Jun 30, 2018·The Journal of Obstetrics and Gynaecology Research·Hirokazu UsuiMakio Shozu
Feb 3, 2018·The Journal of Obstetrics and Gynaecology Research·Choi Wah Kong, William W K To
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Sergio FerrazzaniSara De Carolis
Jan 10, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Tatsuya ArakakiAkihiko Sekizawa
Jan 27, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A LeleuC Garabedian
Jul 30, 2020·American Journal of Obstetrics and Gynecology·Agustin Conde-AgudeloThomas F Burke
Feb 23, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·L PouypoudatC Bertholdt

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