scholarly journals Posttransurethral Resection of Prostate Recurrent Life Threatening Hematuria: A Rare Cause

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
MC Arya ◽  
Lalit Kumar ◽  
Ruchi Mittal ◽  
Rajeev Kumar ◽  
Mayank Baid
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Transurethral Resection Of Prostate ◽  
Ct Urography ◽  
Artery Ligation ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Contrast Enhanced Ct ◽  
Internal Iliac ◽  
Life Threatening

Herein, we present a case report of post-TURP (transurethral resection of prostate) recurrent severe hematuria due to right internal iliac artery pseudoaneurysm protruding into bladder lumen. A 60-year-old male presented with recurrent massive hematuria following TURP done elsewhere 15 days before. His hemoglobin was 4 gm/dL after 13 units of blood transfusion and repeated clot evacuations. His blood urea, serum creatinine, and coagulation profile studies were normal. Ultrasonography of abdomen showed multiple clots in the bladder. Cystoscopy revealed clots with a right posterolateral wall unhealthy area. After stabilizing the patient, contrast enhanced CT urography revealed intravesical aneurysm. CT angiography showed pseudoaneurysm of a branch of internal iliac artery protruding into urinary bladder lumen. We referred patient to selective embolization of the lesion but the procedure was unsuccessful. At last, ipsilateral internal iliac artery ligation relieved hematuria. But on postoperative day 2, patient suddenly collapsed and deceased, presumably due to cardiomorbidities.

scholarly journals Postpartum Hemorrhage Resulting from Internal Iliac Artery Pseudoaneurysm

2020 ◽  
Vol I (2) ◽  
pp. 26-28
Author(s):  
Gözde Girgin
Keyword(s):  
Iliac Artery ◽  
Postpartum Hemorrhage ◽  
Internal Iliac Artery ◽  
Normal Vaginal Delivery ◽  
Artery Ligation ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Ct Angiogram ◽  
Internal Iliac ◽  
Iliac Artery Pseudoaneurysm

We describe a case of internal iliac artery pseudoaneurysm in a 38-year-old woman with postpartum hemorrhage following uterine artery ligation and uterine rupture repair. A 38-year-old female without any comorbid conditions or diseases who had previously given birth with a normal vaginal delivery was admitted to an external healthcare center with pain. The patient presented to our hospital on the 7th postoperative day with abdominal and side pain. We diagnosed the patient with ultrasonography and CT-angiogram imaging and she was treated with selective embolization. On the second day following the procedure, a regression in the previously identified hydronephrosis was observed using renal ultrasonography. The patient was discharged on the 14th day of hospitalization when she was clinically stable. Patients presenting with abdominal pain and hemorrhage after cesarean sections should be carefully evaluated for the possibility of uncommon complications, especially pseudoaneurysms, preferably with a multidisciplinary approach.

scholarly journals Bilateral internal iliac artery ligation: the procedure of choice in life threatening postpartum haemorrhage

2020 ◽  
Vol 9 (9) ◽  
pp. 3607
Author(s):  
Sameer P. Darawade ◽  
Arti A. Wagle ◽  
Sneha Trivedi ◽  
Saloni Manwani
Keyword(s):  
Postoperative Complications ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Iliac Vein ◽  
Artery Ligation ◽  
Vein Thrombosis ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Life Threatening ◽  
Vein Injury

Background: The present study was to assess the indication and study the intraoperative and postoperative complications of bilateral internal iliac artery ligation. Aim of this study was to evaluate the effectiveness of internal iliac artery ligation in arresting postpartum haemorrhage.Methods: This is a retrospective study carried out between January 2015 to December 2018 at Shrimati Kashibai Navale Medical College and General Hospital, Pune. This study included 48 patients with life-threatening PPH. Bilateral internal iliac artery ligation was done by anterior approach in 7 patients and by posterior approach in 41 patients.Results: Intraoperative and postoperative complications were noted in all patients. Of the total patients, 10 required massive blood transfusion and 12 underwent obstetrical hysterectomies (n=12; 25%). Internal iliac vein injury was seen in 1 patient (n=1; 2.08%) and external vein thrombosis was noted in 3 patients (n=3; 6.25%). Maternal mortality was observed in 1 patient due to DIC on day 9 (n=1; 2.08%). The uterine salvage rate was 75%.Conclusions: Internal iliac artery ligation (IIAL) safe, rapid, effective, time tested method of controlling bleeding from genital tract.

scholarly journals Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report

2016 ◽  
Vol 10 ◽  
Author(s):  
Gholamreza Mokhtari ◽  
Hossein Hemmati ◽  
Hamidreza Baghani Aval ◽  
Samaneh Esmaeili
Keyword(s):  
Squamous Cell Carcinoma ◽  
Urinary Bladder ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Noninvasive Methods ◽  
Selective Embolization ◽  
Internal Iliac ◽  
Life Threatening

Bladder squamous cell carcinoma (SCC) may lead to gross hematuria. However, the metastasis of head and neck cutaneous SCC to the urinary bladder has not been described in literatures. Nowadays, noninvasive methods such as Embolization are considered as an appropriate choice for controlling life-threatening hematuria in patients with high operative risk. However, few reports exist on the effectiveness of this approach in managing the hematuria secondary to metastatic bladder SCC. Here we report a case of bladder SCC originating from the forehead cutaneous SCC. An 83-year-old man, a known case of forehead cutaneous SCC with distant metastasis, referred to our clinic with a chief complaint of hematuria. Pathology confirmed the diagnosis of metastatic urinary bladder SCC. Angiography and embolization were undertaken and resulted in complete alleviation of the symptoms. The recurrence of hematuria or embolization-related complications was not observed during 3-month follow-up. Selective Embolization of the Bilateral Internal Iliac Artery is a safe and efficient procedure for controlling severe hematuria in patients with primary or metastatic bladder SCC.

Internal iliac artery ligation—a contemporary simplified approach

2021 ◽  
Author(s):  
Ari P. Sanders ◽  
Sebastian R. Hobson ◽  
Anna Kobylianskii ◽  
Jessica Papillon Smith ◽  
Lisa Allen ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Ligation ◽  
Simplified Approach ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac

PROPHYLACTIC BILATERAL INTERNAL ILIAC ARTERY LIGATION, IN PREVENTION OF PPH, IN A CASE OF MULTIPLE LARGE INTRA MURAL FIBROIDS

2021 ◽  
pp. 83-84
Author(s):  
Aditi Gaiwal ◽  
Devdatta Dabholkar
Keyword(s):  
Blood Loss ◽  
Clinical Diagnosis ◽  
Iliac Artery ◽  
Postpartum Haemorrhage ◽  
Internal Iliac Artery ◽  
Artery Ligation ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Excessive Blood Loss

Postpartum haemorrhage is dened as a blood loss of more than 500ml after delivery of the placenta. It is a clinical diagnosis that encompasses excessive blood loss after delivery of the baby from a variety of sites: uterus, cervix, 1 vagina and perineum

scholarly journals Delayed bleeding after prophylactic bilateral internal iliac artery balloon occlusion in elective caesarean hysterectomy for the management of placenta accreta

2017 ◽  
Vol 6 (4) ◽  
pp. 1656
Author(s):  
Abdul Karim Othman ◽  
Noraslawati Razak ◽  
Mohd Hanif Che Mat
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Balloon Occlusion ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
Internal Iliac ◽  
Life Threatening ◽  
Caesarean Hysterectomy ◽  
Placenta Accrete

Morbidly adherent placenta (MAP) can be divided into placenta accrete, placenta increta and placenta percreta. It is associated with high parity, multifetal gestation, advanced maternal age, assisted reproductive technologies, placenta previa, and more importantly a history of caesarean section or uterine surgery. Globally, the incidence of placenta accrete has increased and seems to be in parallel with the increasing rate of caesarean section delivery.Despite rapidly evolving diagnostic imaging, and growing of surgical expertise, morbidly adherent placenta (MAP) remains an important cause of maternal morbidity and mortality, especially related with life-threatening postpartum haemorrhage. Although the choice of treatment for placenta accrete is puerperal hysterectomy, this procedure itself involves a greater risk of intra-operative haemorrhage.Elective caesarean hysterectomy using prophylactic bilateral internal iliac artery balloon occlusion offer an interesting approach which can minimize the risk of intra-operative haemorrhage. However, our case report describes the case of a 28-year old Gravida 3 Para 2 morbidly obese parturient diagnosed to have placenta previa type 3 posterior with accrete who experienced a complication of life threatening massive bleeding post-operatively after an elective caesarean hysterectomy using a prophylactic bilateral internal iliac artery balloon occlusion intra-operatively.

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