A seven year old boy underwent routine tonsillectomy. The operation was complicated by catastrophic haemorrhage. The screening tests?Prothrombin Time (PT) and Activated Partial Thromboplastin Time (APTT) were normal. He was treated empirically with fresh frozen plasma but bleeding continued. Bilateral carotid ligation was ultimately required to arrest haemorrhage. He was subsequently referred t...

Belachew, J. 2015. Retained Placenta and Postpartum Haemorrhage. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1077. 59 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9182-6. The aim was to explore the possibility to diagnose retained placental tissue and other placental complications with 3D ultrasound and to investigate the impact of previ...

Massive postpartum haemorrhage after Cesarean section for placenta previa is a common occurrence. The bleeding is usually from the placental bed at the lower uterine segment. Uterine tamponade has a role in the management of such patients especially when fertility is desired. We describe here a case of massive postpartum haemorrhage, which was managed, with the use of a Sengstaken-Blakemore tub...

A total of 254 cases of synovial cysts of the spine have been reported in the English literature, but only eight have been associated with haemorrhage. We describe a 55-year-old man with acute radiculopathy resulting from haemorrhage involving a synovial cyst at a lumbar facet joint. Traumatic factors could have caused bleeding around or into the synovial cyst. Treatment by resection of the cys...

Idiopathic spontaneous intraperitoneal haemorrhage is rare cause of nontraumatic intra-abdominal bleeding and carries high mortality risk if untreated. It is quite challenging to make preoperative diagnosis especially if patients present in hemodynamically unstable state. We report an unusual case of idiopathic spontaneous intraperitoneal haemorrhage caused by rupture of inferior pancreatoduode...

BACKGROUND Sub-Saharan Africa and southern Asia account for almost 85% of global maternal deaths from post-partum haemorrhage. Early administration of tranexamic acid, within 3 h of giving birth, was shown to reduce the risk of death due to bleeding in women with post-partum haemorrhage in the World Maternal Antifibrinolytic (WOMAN) trial. We aimed to assess the cost-effectiveness of early admi...

Subarachnoid haemorrhage (SAH) is a type of stroke, which occurs when there is bleeding in the subarachnoid space around the brain. The incidence in the UK is approximately 8 per 100,000 population per year (0.008%). The commonest cause of SAH is rupture of a cerebral aneurysm (7085%) other causes include arteriovenous malformations, tumours, trauma and non-aneurysmal perimesencephalic haemorrh...

Haemorrhage from a surgical wound can be from many potential sources such as injury to vessel, muscle and bone; bleeding disorders; incomplete haemostasis; pseudoaneurysm; and neovascularisation. We report an unusual cause of haemorrhage from the surgical incision in a 9-year-old child. We emphasize that a high index of suspicion is required for early diagnosis, and pseudoaneurysm and neoangiog...

The risk of severe haemorrhage in pregnancy is well recognized, and uncontrolled bleeding remains a major cause of maternal death throughout the world, including the British Isles. The haemochorial system of human placentation carries with it an inherent risk of haemorrhage and this probably explains why the serious congenital disorders of haemostasis are predominantly found in the male. In pre...

The following case of severe intra-peritoneal haemorrhage from a corpus luteum is of considerable interest at this time, as gyntecologists are now again recognising that bleeding into the pelvis may be due to other causes than rupture of an ectopic pregnancy. I am inclined, from my experience in abdominal surgery, to think that a certain degree of haemorrhage into the peritoneal cavity, ovarian...