Novel approach to uterine artery pseudoaneurysm embolization for delayed post-partum hemorrhage: Thrombin really necessary? Reply

2017 ◽  
Vol 43 (9) ◽  
pp. 1512-1512 ◽  
Author(s):  
Ross Parker ◽  
Marc Wuerdeman ◽  
Matthew Grant ◽  
Charles Kitley

2016 ◽  
Vol 42 (12) ◽  
pp. 1870-1873 ◽  
Author(s):  
Ross Parker ◽  
Marc Wuerdeman ◽  
Matthew Grant ◽  
Charles Kitley




Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 56-60
Author(s):  
Afroza Parvin ◽  
Monowara Begum ◽  
Atiya Huda

Uterine artery pseudoaneurysm (UAP) occurs rarely and can develop after various gynecologic or obstetric procedures. The delayed diagnosis of this disease often results in life-threatening hemorrhage. Here is described a case of UAP after cesarean section. The patient visited gynecology outpatient department of AHD 60 days after cesarean section done outside AHD because of abnormal per vaginal bleeding. After her cesarean section she had undergone laparotomy outside AHD for post partum haemorrhage but those papers were not available. From there she was sent to our radiology department for color Doppler TVS examination and here she was diagnosed as a case of UAP using color Doppler ultrasonography. The most frequent cause of UAP is cesarean section, which accounted for 47.4% of all cases. Previous studies show that the definitive diagnosis was made at angiography (41.2%), computed tomography (29.4%), or color doppler ultrasonography (29.4%). Almost all cases (94.1%) were conservatively treated with transcatheter uterine artery embolization. Consideration of UAP in the differential diagnosis is crucial for proper treatment before rupture and to preserve fertility.Pulse Vol.7 January-December 2014 p.56-60



Author(s):  
J. Arumaikannu ◽  
S. Usha Rani ◽  
T. S. Aarifa Thasleem

Massive subchorionic hemorrhage is a rare but serious condition in pregnancy in which a large amount of blood, mainly maternal collects between the uterine wall and the chorionic membrane and may leak through the cervical canal. Although many associations have been reported, an underlying etiology has not been elucidated. Association of massive subchorionic hemorrhage with thrombophilias have been reported in few articles. We are reporting a case of massive subchorionic hemorrhage presented at 13 weeks of gestation associated with secondary post-partum hemorrhage due to uterine artery pseudoaneurysm.



2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Sristi Singh ◽  
Lochan Shrestha ◽  
Sagun Manandhar ◽  
Pooja Roy

A 30-years-old post-cesarean lady presented with a secondary post-partum hemorrhage for aweek, complicated by anemia, which required blood transfusion. Despite conservative medicalmanagement, the bleeding persisted and ultrasonography demonstrated a ruptured left uterineartery pseudoaneurysm. Computed Tomography angiogram was performed for confirmation andplanning for embolization. Transcatheter directed uterine artery pseudoaneurysm embolizationwas performed. Her bleeding was controlled with an uneventful post-procedure period and wasdischarged after two days. This case report summarizes the procedure of transcatheter embolizationof uterine artery pseudoaneurysm in a tertiary care hospital in Nepal.



2021 ◽  
Vol 29 ◽  
pp. e00286
Author(s):  
Danielle Glassman ◽  
Ruchi Karsalia ◽  
Issam Moubarak ◽  
Mark V. Sauer ◽  
Ashima Singla


2021 ◽  
Vol 10 (5) ◽  
pp. 1084
Author(s):  
Yuji Shiina

The concept of intrauterine neo-vascular lesions after pregnancy, initially called placental polyps, has changed gradually. Now, based on diagnostic imaging, such lesions are defined as retained products of conception (RPOC) with vascularization. The lesions appear after delivery or miscarriage, and they are accompanied by frequent abundant vascularization in the myometrium attached to the remnant. Many of these vascular lesions have been reported to resolve spontaneously within a few months. Acquired arteriovenous malformations (AVMs) must be considered in the differential diagnosis of RPOC with vascularization. AVMs are errors of morphogenesis. The lesions start to be constructed at the time of placenta formation. These lesions do not show spontaneous regression. Although these two lesions are recognized as neo-vascular lesions, neo-vascular lesions on imaging may represent conditions other than these two lesions (e.g., peritrophoblastic flow, uterine artery pseudoaneurysm, and villous-derived malignancies). Detecting vasculature at the placenta–myometrium interface and classifying vascular diseases according to hemodynamics in the remnant would facilitate the development of specific treatments.





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