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It is an important cause of morbidity and mortality of young women. In this study, we present a case of secondary PPH in a young woman after uncomplicated caesarean delivery who was deemed clinically unstable, and finally, underwent emergent total abdominal hysterectomy. We reviewed the literature with an emphasis on the pathophysiology of this situation. Treatment of patients with SPS includes conservative medical therapy, hysterectomy and fertility-sparing percutaneous embolotherapy.<\/jats:p>","DOI":"10.1136\/bcr-2020-238945","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T17:11:35Z","timestamp":1612804295000},"page":"e238945","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Subinvolution of the placental site as the cause of hysterectomy in young woman"],"prefix":"10.1136","volume":"14","author":[{"given":"Olga","family":"Triantafyllidou","sequence":"first","affiliation":[{"name":"Reproductive Medicine Unit, Maternity Hospital Lito, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4470-5267","authenticated-orcid":false,"given":"Stavroula","family":"Kastora","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Aberdeen College of Life Sciences and Medicine, Aberdeen, UK"},{"name":"Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irini","family":"Messini","sequence":"additional","affiliation":[{"name":"Department of Pathology, Maternity Hospital Lito, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Kalampokis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Maternity Hospital Lito, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"key":"2025082708502581000_14.2.e238945.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.08.004"},{"key":"2025082708502581000_14.2.e238945.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"2025082708502581000_14.2.e238945.3","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.5858\/2006-130-1354-AGCMNA","article-title":"Are gadolinium-based contrast media nephrotoxic? a renal biopsy study","volume":"130","author":"Akgun","year":"2006","journal-title":"Arch Pathol Lab Med"},{"key":"2025082708502581000_14.2.e238945.4","first-page":"430","article-title":"Ueber Sp\u00e4tblutungen im Wochenbett. 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