This is a life threatening condition. The retroperitoneal haematoma is silent till the tamponade effect is there. The moment peritoneum is opened, the bleeding leads to profound shock, and bleeder is impossible to locate. In such situation, the common iliac artery is to be compressed by the assistant to stop the further pulsations.
The area is to be cleared and assistant should release the pressure very slightly. The surgeon should be ready with one artery clamp in each hand, and should sharply catch it. How would you tackle Retroperitoneal Bleeding due to slipped uterine artery?
