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Puerperal genital hematomas are uncommon causes of postpartum hemorrhage but can be a cause of serious morbidity and even maternal death. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or found as delayed postpartum hemorrhage, there is a high risk of shock. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on 2nd postpartum day.

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall