Acute lower limb ischemia following surgical management of postpartum hemorrhage: about a case and review of the literature

This is a 30-year-old patient, without history, primigravida, with full-term pregnancy, who consulted in the obstetric emergency department for treatment of heavy metrorrhagia. After conditioning, ultrasound showed completely covering placenta, hence indication an caesarean giving birth to Apgar boy 5/10th then 9/10th. The patient presented uterine atony resistant medical treatment. Uterine padding and triple vascular ligation were performed. With persistence atony, hypogastric arteries was attempted accidental lesion right external iliac artery requiring its ensure haemostasis. transferred our training additional care. On admission, intubated, hemodynamically stable coldness lower limb absence femoral pulse. CT angiography aorta both limbs revealed partial occlusion downstream patency. Revascularization by bypass using great saphenous vein contralateral post-operative follow-up simple. Postpartum hemorrhage serious complication obstetrics. Hypogastric one means surgical management postpartum hemorrhage. It standardized effective technique, but complications are not uncommon.