ABSTRACT
Aim
To demonstrate the efficacy of uterine artery embolization in the management of postpartum hemorrhage (PPH) due to pseudoaneurysm of the uterine artery.
Background
Postpartum hemorrhage is a leading cause of maternal mortality in India. Secondary PPH is a rare cause but potentially life threatening. Common causes of secondary PPH are retained products of conception, subinvolution of uterus, and endometritis. Pseudoaneurysm is an uncommon cause of secondary PPH following operative delivery. Color Doppler ultrasound is a useful diagnostic tool and angiography is necessary to localize and treat by embolization.
Case report
We report two cases of secondary PPH due to pseudoaneurysm of uterine artery, which were managed by selective embolization of uterine artery.
Conclusion
Angiographic embolization of uterine artery is a safe and reliable technique for management of secondary PPH due to pseudoaneurysm. If diagnosed early, the need for hysterectomy is prevented.
Clinical significance
Uterine artery embolization has emerged as a simple, effective, and fertility-sparing treatment for PPH.
How to cite this article
Gollapudi R, Rammurty S. Selective Uterine Artery Embolization: An Effective Treatment Option for Postpartum Hemorrhage due to Pseudoaneurysm of Uterine Artery. J South Asian Feder Obst Gynae 2017;9(3):283-286.
Is uterine artery embolization in postpartum hemorrhage due to uterine atony a fertility-sparing intervention?
