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After a subtotal hysterectomy for severe postpartum hemorrhage due to rupture uterus, following complication at internal podalic version and breech extraction for a second twin, in a primipara; a long term follow up and management by a wedge resection of ovary, ovariotomy, and removal of cyst was carried out by the same surgeon in three different Hospitals, so unique in our context, is reported. Key Words: TwinDelivery, Internal Podalic Version.

OVARIAN CYST FORMATION: MANY YEARS AFTER HYSTERECTOMY FOR HEMORRHAGIC COMPLICATIONS IN TWIN DELIVERY