Bilateral uterine artery embolization for the management of bilateral uterine artery pseudoaneurysm during puerperium: A case report

2021 ◽  
Vol 10 (1) ◽  
pp. 22-23
Author(s):  
Sally Damra Elnour Mohammed ◽  
Mohammed Khidir Tayfor ◽  
Isra Mutasim Hamad ◽  
Mashaar Osama
Keyword(s):  
Ct Angiography ◽  
Uterine Artery ◽  
Delayed Diagnosis ◽  
Arterial Embolization ◽  
Bleeding Events ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
The Right ◽  
Uterine Artery Pseudoaneurysm

Background: Uterine artery Pseudoaneurysm is a rare cause of secondary postpartum hemorrhage (PPH) and can develop after various gynecological or obstetric procedures. The delayed diagnosis of such cases often results in life threatening situations. We report a rare case of bilateral uterine artery pseudoaneurysm that led to life threatening secondary PPH after Caesarean section in a patient who had several Caesarean sections before. Case description: A 35 years old multiparus women, who had all her four deliveries by Caesarean sections, presented with recurrent massive attacks of secondary PPH 35ays after her last delivery. Rupture of aneurysm of the uterine artery was suspected and CT angiography showed that the left uterine artery seemed more dilated and was probably the source of the PPH. The bleeding site was successfully tackled by selective arterial embolization. About three weeks later the patient presented again with severe recurrence of PPH. Repeat of CT angiography showed that the source was the right uterine artery this time, which was again selectively embolized. No further bleeding events occurred up to two years follow-up. Conclusion: Rupture of aneurysm of the uterine artery can be a life-threatening condition. Clinical suspicion is essential for a prompt diagnosis Definitive diagnosis can be achieved by CT-angiography. Treatment by selective embolization can effectively stop the bleeding.

scholarly journals Massive Secondary Postpartum Hemorrhage with Uterine Artery Pseudoaneurysm after Cesarean Section

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ahmet Ozgur Yeniel ◽  
Ahmet Mete Ergenoglu ◽  
Ali Akdemir ◽  
Elmin Eminov ◽  
Fuat Akercan ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Uterine Artery ◽  
Angiographic Embolization ◽  
Artery Ligation ◽  
Artery Pseudoaneurysm ◽  
Uterine Artery Ligation ◽  
Life Threatening ◽  
Secondary Postpartum Hemorrhage ◽  
Uterine Artery Pseudoaneurysm

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.

Secondary postpartum hemorrhage due to uterine artery pseudoaneurysm

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Alexis Svokos MD ◽  
Kendall Cunningham MD ◽  
Maranda Sullivan DO ◽  
Saif Ahmed MD
Keyword(s):  
Pulmonary Embolism ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Uterine Artery ◽  
Artery Pseudoaneurysm ◽  
Secondary Postpartum Hemorrhage ◽  
The Right ◽  
Uterine Artery Pseudoaneurysm

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.

scholarly journals Uterine artery pseudoaneurysm after cesarean section: case report

Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 56-60
Author(s):  
Afroza Parvin ◽  
Monowara Begum ◽  
Atiya Huda
Keyword(s):  
Cesarean Section ◽  
Uterine Artery ◽  
Doppler Ultrasonography ◽  
Post Partum ◽  
Color Doppler ◽  
Delayed Diagnosis ◽  
Color Doppler Ultrasonography ◽  
Radiology Department ◽  
Artery Pseudoaneurysm ◽  
Uterine Artery Pseudoaneurysm

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

scholarly journals Postpartum Pseudoaneurysm After Cesarean Delivery

2018 ◽  
Vol 35 (2) ◽  
pp. 136-140 ◽  
Author(s):  
Dora DiGiacinto ◽  
Jennifer E. Bagley ◽  
Bradford Gildon ◽  
Gina Cantrell
Keyword(s):  
Cesarean Delivery ◽  
Uterine Artery ◽  
Liver Enzymes ◽  
Vascular Lesion ◽  
Artery Pseudoaneurysm ◽  
Elevated Liver Enzymes ◽  
Life Threatening ◽  
History Of ◽  
Low Platelet Count ◽  
Uterine Artery Pseudoaneurysm

Uterine artery pseudoaneurysm is an uncommon vascular lesion that can be life threatening. A ruptured uterine artery pseudoaneurysm can cause acute massive hemorrhaging, creating a true emergency for the postpartum patient. The etiology is more commonly seen with traumatic procedures such as cesarean delivery or curettage. This case report is of a patient with a history of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome who presented with heavy bleeding after a cesarean delivery. Sonography was primarily used to diagnose the uterine artery pseudoaneurysm. Because of the massive hemorrhaging in this case, a hysterectomy was performed.

scholarly journals Endovascular Management of a Rare Cause of Bleeding Per Vaginam: A Hole in the Mole

2019 ◽  
Vol 03 (02) ◽  
pp. 122-125
Author(s):  
Anurag Chahal ◽  
Sundeep Malla ◽  
Shivanand Gamanagatti
Keyword(s):  
Uterine Artery ◽  
Color Doppler ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm ◽  
Delayed Bleeding ◽  
Uterine Surgery ◽  
Life Threatening ◽  
Uterine Curettage

AbstractUterine artery aneurysm is a rare cause of bleeding per vaginam. Uterine artery pseudoaneurysms are rare but potentially life-threatening causes of persistent or delayed bleeding post-uterine curettage or any uterine surgery. Color Doppler ultrasonography is very useful for emergent diagnosis of these conditions and subsequent follow-up post-embolization. Computed tomography scan and magnetic resonance imaging play an important role in confirming the diagnosis. Transcatheter arterial embolization is the therapy of choice for such cases. Our case highlights the presentation, imaging appearance, and endovascular management of a case of uterine artery pseudoaneurysm.

scholarly journals Μassive secondary postpartum hemorrhage caused by pseudoaneurysm of uterine artery, treated with uterine artery embolization – An uncommon case report

2020 ◽  
Vol 19 (2) ◽  
pp. 95-100
Author(s):  
Ioannis Kokolakis ◽  
Fanis Makrigiannakis ◽  
Afroditi Ziogou ◽  
Antonios Makrigiannakis
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery ◽  
Arterial Embolization ◽  
Treatment Method ◽  
Angiographic Embolization ◽  
Artery Ligation ◽  
Artery Pseudoaneurysm ◽  
Uncommon Case ◽  
Secondary Postpartum Hemorrhage ◽  
Uterine Artery Pseudoaneurysm

Introduction: Uterine artery pseudoaneurysm is an uncommon cause of secondary postpartum hemorrhage that can be fatal. Material & Methods: We present a case of a 42-year-old woman who developed massive secondary postpartum hemorrhage 17 days after c-section and was diagnosed to have pseudoaneurysm from the left uterine artery on computed tomography scan. After blood transfusion she got hemodynamically stable and selective transcatheter arterial embolization was performed. Results: The pseudoaneurysm was successfully obliterated. Conclusions: Angiographic embolization is a safe and competent method for managing postpartum hemorrhage caused by pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the preferred method for hemodynamically unstable patients when fertility preservation is strongly desired. In a woman with unexplained vaginal bleeding after c-section , pseudoaneurysm should be considered in the differential diagnosis of secondary postpartum hemorrhage. Angiographic embolization should be examined as a treatment method before turning to surgery, in suitable selected cases.

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