# A case report of uterine necrosis following cesarean section: lessons learned from cross binding suture for refractory postpartum hemorrhage

## TL;DR

A rare case of uterine necrosis after a cesarean section highlights risks of using a cross binding suture for severe postpartum bleeding.

## Contribution

This case report highlights the potential complications of using a cross binding suture for refractory postpartum hemorrhage.

## Key findings

- Cross binding suture for PPH led to uterine necrosis requiring hysterectomy.
- Unconventional surgical techniques can result in severe maternal complications.
- Early recognition and intervention are crucial to prevent severe outcomes.

## Abstract

Uterine necrosis following cesarean section is an extremely rare but serious complication. This case report presents a unique scenario where a cross binding suture technique was employed to manage intractable postpartum hemorrhage (PPH), ultimately leading to uterine necrosis and hysterectomy. The case underscores the challenges of managing severe PPH and highlights the potential complications of unconventional surgical techniques. It also emphasizes the importance of early recognition and intervention to minimize maternal morbidity and mortality.