Necrotising myometrial granulomas leading to postpartal hemorrhage: an extremely unusual presentation

Granulomas exclusively involving the myometrium are rare pathological finding and those presenting with atonic post-partum hemorrhage have never been reported. Here we present a case of myometrial granulomas presenting with atonic postpartum hemorrhage (PPH) with no evidence of granulomatous inflammation elsewhere in the body. There was also no history of instrumentation or biopsy of the uterine cavity in the past