A 44 y/o female patient was stabilized with the AAJT-S during a hemorrhagic crisis, enabling definitive surgical repair.
AAJT-S Controls Massive Hemorrhage Following Uterine Rupture Post Hysteroscopy
Location: Ukraine
Clinician: Dr. Yevheniia Poliakova, PhD, MD
Setting: Hospital
Application site: Abdomen
Case ID: US-26-09
Clinical Case Summary
Synopsis
Injury, intervention, and outcome at a glance
- Massive Vaginal Hemorrhage
- Post-hysteroscopy (1 week prior)
- Sudden onset while awaiting MRI
- Estimated 2L blood loss
- Hgb dropped 120 → 71 g/L
- AAJT-S applied to abdomen
- External aortic compression
- Hemorrhage immediately controlled
- Fluid resuscitation initiated
- Patient regained consciousness
- Transported to OR
- Definitive surgical repair performed
- Hysterectomy completed
- No ischemic events
- Patient discharged stable
Unexplained Post-op Pelvic Pain
A woman in her mid-forties presented to the hospital with complaints of pelvic pain. She was approximately one week post-operative following an outpatient hysteroscopy. Ultrasound examination revealed features suggestive of a uterine arteriovenous malformation. As there were no signs of active bleeding or spotting at that time, she was referred to MRI to confirm the diagnosis. While awaiting the results, the patient remained under inpatient observation.
A Catastrophic and Sudden Bleed
While awaiting MRI results, the patient rapidly developed sudden, massive vaginal hemorrhage accompanied by clear signs of hemodynamic instability. Within a critically short window, she lost an estimated 2 liters of blood and lost consciousness. Her hemoglobin fell from 120 g/L to 71 g/L. The speed and severity of the crisis left clinical staff with an extremely narrow window for effective intervention before irreversible hemodynamic collapse.
AAJT-S Achieving Hemorrhage Control
Hospital staff immediately placed the AAJT-S on the patient’s abdomen, applying external aortic compression to achieve hemorrhage control. Control was obtained, and fluid resuscitation was initiated. During resuscitation, the patient regained consciousness. She was then hemodynamically stabilized and transported to the operating room for definitive surgical repair.
Hysterectomy Performed; Patient Survived
The hemorrhage control achieved by the AAJT-S provided the critical intervention needed to stabilize the patient for surgery. The only adverse effect was vomiting upon the patient’s regaining of consciousness. Attempts were made to save the uterus, however, the tissue was extremely friable, and bleeding persisted. As a result, a hysterectomy was successfully performed and was the patient was discharged in stable condition.
“I simply wanted to thank you and let you know that your tourniquet truly saves lives.”
— Dr. Yevheniia Poliakova, PhD, MD · Ukraine
