Haematometra arising from multiple abortions: a comprehensive case report

Abstract

Haematometra, a rare and delayed complication, can emerge following medical termination of pregnancy, also known as ‘postabortal post-caesarean syndrome’ or ‘redo syndrome’. Treatment requires the immediate evacuation of both liquid and clotted blood for quick resolution, followed by administration of an oxytocic agent to ensure complete recovery. This current report describes a female patient in her mid-30s who presented with colicky lower abdominal pain following a medically-induced abortion at 10 weeks. The case underscores the critical need for vigilance in detecting haematometra after abortion or caesarean delivery. Prompt recognition through symptoms and ultrasound, followed by immediate treatment, is essential to prevent severe complications such as infertility and ensure ongoing reproductive health.