Objective: Postpartum hemorrhage (PPH) remains an important cause of maternal morbidity and mortality. Immediate complications of PPH include anemia, hypovolemic shock, acute liver failure, acute renal failure, pulmonary edema, consumptive coagulopathy, and transfusion reactions. Delayed complications include hepatitis, Sheehan's syndrome, infertility, and chronic renal failure. Case: A 22-year-old woman presented with PPH to the labor room after a normal delivery. Modified B-lynch sutures were applied in addition to uterine artery and ovarian artery ligation. On the 2nd postoperative day, the patient complained of pain in her abdomen. Tests revealed abnormal liver function. A provisional diagnosis of ischemic hepatitis was made. Results: The patient recovered within 2 weeks of her illness. Conclusions: Complications of PPH can only be reduced when the condition is promptly diagnosed and therapeutic measures are instituted immediately. (J GYNECOL SURG 28:53)
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