Background: Postpartum hemorrhage (PPH) is a significant factor in maternal morbidity and mortality. Successful techniques using a combination of compression sutures have been described to control PPH. Case: A 26-year-old primipara presented in an emergency department with excessive bleeding after a normal delivery of a neonate. Modified B-Lynch sutures were applied along with uterine artery and ovarian artery ligation. After 8 weeks, this patient presented with complaints of a mass being expelled from her vagina. Results: An examination under anaesthesia was performed and the mass was removed without any resistance. The mass had sutures embedded in it. A diagnosis of a decidual cast was made at that time. At a 6-month follow-up, a hysteroscopy was performed, and this procedure revealed that the patient now had a normal endometrium. Conclusions: Women requiring uterine compression sutures should be informed about potential complications. Postoperative follow-up for these women should include pelvic examination, pelvic ultrasound, and sonohysterography to identify any decidual casting, uterine-wall defects, or uterine-cavity adhesions. (J GYNECOL SURG 29:213)
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