Articles:Gynaecological haemorrhage
From Oncopaedia
Vaginal bleeding is a complication of vulval, vaginal, cervical, or uterine cancer, and it can be massive and life-threatening. Definitions of massive haemorrhage vary widely and are arguably of limited value. The source and amount of blood loss may be obvious, but occasionally may be concealed. Symptoms of patients presenting with massive blood loss include circulatory shock (and collapse), tachycardia, hypotension, oliguria, and tachypnoea.
Management
In the short-term, vaginal packing can temporarily arrest bleeding, and external beam radiotherapy (EBRT) can terminate bleeding in two to four days. In some circumstances, radiological (embolisation) or vascular intervention may be required.