Open Journal Of Obstetrics, Gynecology And Reproductive Medicine

Subinvolution of placental sites (SPSs) is a rare but a potentially fatal cause of secondary postpartum hemorrhage (PPH). Although the combination of abdominal pain and vaginal bleeding has been reported as the main presenting features for SPSs, rarely SPS can present with only abdominal pain without bleeding. This can result in delay or misdiagnosis which in turn can lead to a potentially life-threatening bleeding. The report describes a case of a 29-year-old woman who presented with lower abdominal pain eight days following vaginal delivery. Although the pelvic ultrasound was in keeping with retained product of conception, the histopathology of uterine curetting’s was suggestive of SPS. The case describes a rare case of SPS. The aim of this report is to raise the awareness about SPS & to highlights the importance of considering differential diagnoses in the context of persistent postpartum abdominal pain, in the absence of excessive vaginal bleeding.

Keywords: Sub involution; Placental; Bleeding; Product; Conception; Uterine; Pain