Refractory Late Postpartum Hemorrhage Caused by Uterine Artery Pseudoaneurysms after Cesarean Section: A Case Report and Literature

2021 ◽  
Vol 11 (10) ◽  
pp. 4507-4512
Author(s):  
美玲 郭
2021 ◽  
Vol 29 ◽  
pp. e00286
Author(s):  
Danielle Glassman ◽  
Ruchi Karsalia ◽  
Issam Moubarak ◽  
Mark V. Sauer ◽  
Ashima Singla

2010 ◽  
Vol 17 (6) ◽  
pp. 687-691 ◽  
Author(s):  
Wataru Isono ◽  
Ryo Tsutsumi ◽  
Osamu Wada-Hiraike ◽  
Akihisa Fujimoto ◽  
Yutaka Osuga ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ahmet Ozgur Yeniel ◽  
Ahmet Mete Ergenoglu ◽  
Ali Akdemir ◽  
Elmin Eminov ◽  
Fuat Akercan ◽  
...  

Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Helena Isabel Lopes ◽  
Maria Isabel Sá ◽  
Rosa Maria Rodrigues

Background. Several pregnancies have been reported after embolization of uterine artery. This procedure is an accepted nonsurgical treatment for symptomatic uterine fibroids but its safety in women desiring future childbearing is not well established.Case Report. We present a 40-year-old woman with leiomyomata who became pregnant after previously undergone uterine artery embolization for three times. The placenta was previa and the fetus was in transverse position. She had a cesarean delivery of an appropriately grown fetus at 37 weeks, which was followed by uterine atony requiring hysterectomy.Conclusion. Although pregnancy-related outcomes remain understudied, the available reports evidence that pregnancies after uterine artery embolization may be at significantly increased risk for postpartum hemorrhage, cesarean delivery, abnormal placentation, and malpresentation. In patients who are undergoing this type of treatment and contemplating pregnancy, the possibility of adverse complications should be taken in consideration and women should be appropriately advised.


Author(s):  
Hiroto Hirashima ◽  
Kyoko Kaminaga ◽  
Yohei Koyashiki ◽  
Kenichi Tabata ◽  
Rie Usui ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hiroki Ishibashi ◽  
Kohsuke Hagisawa ◽  
Manabu Kinoshita ◽  
Yukako Yuki ◽  
Morikazu Miyamoto ◽  
...  

AbstractWe aimed to investigate the resuscitative efficacy of hemoglobin vesicles (HbVs) as a red blood cell (RBC) substitute for the initial treatment of severe postpartum hemorrhage (PPH). Twenty-five pregnant rabbits underwent cesarean section; uncontrolled hemorrhage was induced by transecting the right uterine artery to establish a severe PPH model. During the first 30 min, all rabbits were administered 6% hydroxyethyl starch (HES) of an equivalent volume to the hemorrhage every 5 min. Thereafter, they received any of the following three isovolemic fluids for resuscitation every 5 min: RBCs with platelet-poor plasma (RBC/PPP) (n = 8), 6% HES (n = 7), or HbVs with 25% human serum albumin (n = 10). After surgical hemostasis at 60 min, survival was monitored until 12 h. No rabbits receiving only HES infusion survived beyond 6 h, whereas all rabbits receiving RBC/PPP transfusion survived. The rabbits receiving HbV infusion showed significantly higher mean arterial pressure and hemoglobin levels than the HES-receiving rabbits, and 8 of 10 rabbits survived for 6 h. The HbV group showed significantly higher survival than the HES group but worse survival than the RBC/PPP group. In conclusion, HbV infusion for severe PPH effectively prevents lethal hemorrhagic shock in a pregnant rabbit model.


Author(s):  
Alexis Svokos MD ◽  
Kendall Cunningham MD ◽  
Maranda Sullivan DO ◽  
Saif Ahmed MD

We present the case of a 26-year-old female who experienced secondary postpartum hemorrhage nine days after an uncomplicated elective repeat low transverse cesarean section. She was found to have a uterine pseudoaneurysm and underwent gel foam embolization of the right uterine artery. Subsequently, patient was diagnosed with pulmonary embolism on post-embolization day 3, and was initiated on anti-coagulation regimen.


2014 ◽  
Vol 53 (2) ◽  
pp. 276-278 ◽  
Author(s):  
Fan-Hlan Koo ◽  
Shan-Tai Chao ◽  
Peng-Hui Wang ◽  
Hsing-I Wang ◽  
Shu-Huei Shen ◽  
...  

2012 ◽  
Vol 27 (2) ◽  
Author(s):  
Suja Varghese ◽  
Nandini Gokulam ◽  
Sheika Al- Abri

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