{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:19:18Z","timestamp":1790799558582,"version":"4.1.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":186,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n The Postpartum bleeding is the first cause of maternal mortality in Morocco. It is an obstetrical emergency that requires a fast multimodal management including medical care, interventional procedure and in few cases a salvatory surgery.<\/jats:p>\n <\/jats:sec>\n \n CLINICAL CASE:<\/jats:title>\n We report a rare case of uterine necrosis following postpartum hemorrhage, refractory to medical therapy, and which was controlled by a combination of uterine hemostatic techniques and vascular ligation three days after surgery, the patient developed a fever (39 \u00b0C).<\/jats:p>\n At day 3 of postoperative period, the patient developed a fever (39 \u00b0C) associated with diffuse abdominal pain, diarrhea and non-fetid lochia. At day 5, she presented a state of sepsis. Abdominal and pelvic CT objectified gas bubbles in the uterine myometrium suggestive of necrosis. An exploratory laparotomy was performed. After adhesiolysis, exploration found a complete necrosis of the uterus<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n There are many surgical techniques for the management of postpartum bleeding, and hysterectomy remains the reference solution in this context. However, new conservative surgical techniques that are easier to perform and are less aggressive have emerged and are becoming more commonly used.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n We emphasize on the importance of choosing surgical techniques that lead to the preservation of uterine vascularization.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.07.005","type":"journal-article","created":{"date-parts":[[2017,7,10]],"date-time":"2017-07-10T14:47:33Z","timestamp":1499698053000},"page":"5-7","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":24,"title":["Uterine necrosis following a combination of uterine compression sutures and vascular ligation during a postpartum hemorrhage"],"prefix":"10.1097","volume":"38","author":[{"given":"Saad","family":"Benkirane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanane","family":"Saadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badr","family":"Serji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Mimouni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20260114","first-page":"32","article-title":"N\u00e9crose pari\u00e9tale ut\u00e9rine partielle apr\u00e8s capitonnage h\u00e9mostatique au cours d\u2019une h\u00e9morragie de la d\u00e9livrance","volume":"15","author":"Fatima Zohra","year":"2013","journal-title":"Pan Afr. Med. J"},{"key":"R2-2-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R3-2-20260114","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1111\/j.1471-0528.2004.00101.x","article-title":"Quantifying severe maternal morbidity: a Scottish population study","volume":"111","author":"Brace","year":"2004","journal-title":"BJOG"},{"key":"R4-2-20260114","first-page":"148","article-title":"Technical description of the B-Lynch brace suture for treatment of massive postpartum hemorrhage and review of published cases","volume":"50","author":"Price","year":"2005","journal-title":"Int. J. Fertil. Women Med"},{"key":"R5-2-20260114","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1111\/j.1471-0528.1997.tb11471.x","article-title":"The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported","volume":"104","author":"B-Lynch","year":"1997","journal-title":"Br. J. Obstet. Gynaecol"},{"key":"R6-2-20260114","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/01.AOG.0000168434.28222.d3","article-title":"Compressive uterine sutures to treat postpartum bleeding secondary to uterine atony","volume":"106","author":"Pereira","year":"2005","journal-title":"Obstet. 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Scand"},{"key":"R8-2-20260114","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1471-0528.2004.00259.x","article-title":"Partial ischemic necrosis of the uterus following a uterine brace compression suture","volume":"112","author":"El-Hamamy","year":"2005","journal-title":"BJOG"},{"key":"R9-2-20260114","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.gyobfe.2008.09.025","article-title":"N\u00e9crose pari\u00e9tale uterine partielle apre\u00e8s capitonnage h\u00e9mostatique selon la technique de Cho au cours d\u2019une h\u00e9morragie du post-partum","volume":"37","author":"Reyftmann","year":"2009","journal-title":"Gyn\u00e9col. Obst\u00e9t. Fertil"},{"key":"R10-2-20260114","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/j.gyobfe.2009.08.001","article-title":"Comment \u00e9viter les complications lors des sutures h\u00e9mostatiques selon Cho","volume":"37","author":"Palacios-Jaraquemada","year":"2009","journal-title":"Gyn\u00e9col. Obst\u00e9t. 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