PICTORIAL ESSAY
Uterine Balloon Tamponade: A Savior in Ruptured Uterine Arteriovenous Malformation
Sandhya Gadre1 • Sushruta Shrivastava1 • Purva Tripathi2 • Manal A. Ali3
Sandhya Gadre, Professor, Department of Obstetrics and
Gynaecology, Chirayu Medical College & Hospital, Bhopal; Sushruta
Shrivastava, Assistant Professor, Department of Obstetrics and
Gynaecology, Chirayu Medical College & Hospital, Bhopal; Purva
Tripathi, Senior Resident, Department of Radiodiagnosis, Chirayu
Medical College & Hospital, Bhopal; Manal A. Ali, Assistant
Professor, Department of Pathology, Chirayu Medical College &
Hospital, Bhopal.
✉Sushruta Shrivastava
vikrantsush18@gmail.com
1 Department of Obstetrics and Gynaecology, Chirayu Medical
College & Hospital, Bhopal, India
2 Department of Radiodiagnosis, Chirayu Medical College &
Hospital, Bhopal, India
3 Department of Pathology, Chirayu Medical College &
Hospital, Bhopal, India
About the Author
Dr. Sandhya Gadre, professor in Obstetrics and Gynaecology at Chirayu Medical College and Hospital, Bhopal. She is a
fellow of ICOG. Reviewer for JOGI, JEMDS. She has reviewed many MD dissertations and research articles. She has nine
research publications as a first author. She has been invited as a guest speaker, panelist at AICOG and also at AMPOGS
several times. She has presented many oral papers and posters at AICOG and AMPOGS. She is a resource faculty for medical
education. She has been office bearer several times at local FOGSI. She is always enthusiastically interested in implementing
her own innovative ideas in teaching the students.
30 years second para had menorrhagia for 2 months after D
& E. USG and pelvic angiogram were suggestive of uterine
AVM on left side (Figs. 1, 2, 3). Patient gave negative
consent for uterine artery embolisation. She started.bleeding torrentially leading to hypotension. Hence balloon
tamponade was done that kept the bleeding under control
for 12 days till hysterectomy was done after the couple
insisted for hysterectomy. Gross specimen and HPR proved
the diagnosis (Figs. 4, 5).
Compliance with ethical standards
Conflict of interest: The authors declare that they have no conflict of
interest.
Informed consent: As per the protocol of the journal a written
informed consent was obtained from the concerned patient that her
case details & clinical photographs will be sent for publication in a
scientific journal. She has consented for that in writing.