Abstract

Objective: Postpartum hemorrhage is one of the leading causes of maternal mortality. Postpartum
hemorrhage originates from the genital organs primarily as uterine atonia, and although extremely
rare, it may also originate from reasons other than the genital organs. Inferior epigastric vascular
damage may be the origin of postpartum hemorrhage and despite its rarity, can cause morbidity and
even mortality.
Case: The case is here presented of a patient being followed up for severe pre- eclampsia in whom
inferior epigastric venous injury occurred associated with blunt widening of a pfannenstiel incision
during caesarean section operation.
Conclusion: Although extremely rare, in cases thought to be postpartum hemorrhage, especially if
there is no vaginal bleeding and the uterus has contracted, causes other than the pelvic organs must
be suspected.

Key words: Cesarean Section, morbidity, postpartum hemorrhage