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The Use of a Rusch Intrauterine Balloon to Cause Tamponade on a Severe Hemorrhage in a Case of Endometrial Cancer
  1. Maria Kyrgiou, PhD, MSc, MRCOG*,
  2. Pierre Martin-Hirsch, MD, FRCOG and
  3. Maneesh Singh, MD, MRCOG
  1. *Department of Surgery and Cancer, Imperial College West London Gynaecological Cancer Center, Queen Charlotte’s and Chelsea - Hammersmith Hospital, Imperial Healthcare NHS Trust, London, UK;
  2. Department of Gynaecologic Oncology, Lancashire Teaching Hospitals, Preston, UK, and
  3. Gold Coast and Robina Hospitals, Brisbane, Australia.
  1. Address correspondence and reprint requests to Maria Kyrgiou, PhD, MRCOG, West London Gynaecologic Cancer Centre, Queen Charlotte’s & Chelsea–Hammersmith Hospital, Imperial Healthcare NHS Trust, 2nd Floor, Hamm House, Du Cane Rd, W12 0HS, London, United Kingdom. E-mail: m.kyrgiou{at}


Abstract Intractable vaginal bleeding is a complication of gynecological tumors of the cervix and endometrium. The management of torrential bleeding usually requires laparotomy or laparoscopy, or less invasive techniques such as uterine artery embolization. This case report describes the use of an intrauterine Rusch balloon catheter, previously only used in the obstetric setting. This is a safe and inexpensive method of management, which does not need specific training. We also review all the current options for the management of severe bleeding as a complication of gynecological cancers.

  • Endometrial cancer
  • Rusch intrauterine balloon
  • Hemorrhage
  • Uterine cancer
  • Bleeding

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  • Sources of Funding: There was no funding.

  • The authors declare no conflicts of interest.