scholarly journals Malformasi Arteriovena Pada Bekas Seksio Sesaria

2017 ◽  
Vol 1 (2) ◽  
pp. 100-107
Author(s):  
Yusrawati Yusrawati
Keyword(s):  
Cesarean Section ◽  
Arteriovenous Malformation ◽  
Postpartum Hemorrhage ◽  
Rare Case ◽  
Heart Failure Management ◽  
Uterine Surgery ◽  
Uterine Arteriovenous Malformation ◽  
History Of ◽  
Methotrexate Treatment ◽  
Secondary Postpartum Hemorrhage

Uterine arteriovenous malformations is rare case which cause secondary postpartum hemorrhage. This disor-der can cause massive and suddden vaginal bleeding. Despite of rare case, secondary arteriovenous malforma-tions can occur after a cesarean section. Patients who undergo uterine arteriovenous malformation generally have symptoms of menorrhagia or metrorrhagia after miscarriage, uterine surgery, including cesarean section, and curettage. In severe cases, this can lead to malformations of dyspnoea and heart failure. Management of AVM is by embolization, methotrexate treatment and hysterectomy depending on patient condition. Here reported a case of a patient aged 25 years with a diagnosis of P2H1, AUB ec AVM. Patients got history of caesarean section 6 months ago, and since 5 months ago patients were admitted 8 times for recurrent bleed-ing. Diagnostic examinations found AVM and hysterectomy was done. The AUB diagnosis in patients is less precise, the patient should be diagnosed with secondary postpartum hemorrhage due to uterine arteriovenous malformation acquired. Uterine arteriovenous malformation diagnosis should be considered in patients with secondary postpartum haemorrhage.Keywords: arteriovenous malformation, a former cesarean section, AUB

scholarly journals Trans-arterial embolization of acquired uterine arteriovenous malformation after Cesarean section: A case series

2019 ◽  
Vol 17 (2) ◽  
pp. 135
Author(s):  
Achmad Kemal Harzif ◽  
Agrifa Haloho ◽  
Melisa Silvia ◽  
Gita Pratama ◽  
Yuditiya Purwosunu ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Arteriovenous Malformation ◽  
Vaginal Bleeding ◽  
Case Series ◽  
Arterial Embolization ◽  
Definitive Treatment ◽  
Shock Condition ◽  
First Choice ◽  
Uterine Arteriovenous Malformation ◽  
History Of

Background: Acquired uterine arteriovenous malformation (AVM) is a rare conditiondue to traumatic episodes in cesarean section. The patient can suffer from lifethreateninghemorrhage or recurrent vaginal bleeding. Establishing this diagnosis isdifficult, often misdiagnosed due to lack of information and number of cases. Trans-Arterial Embolization (TAE) procedure is rarely performed in our center. All of thecases were found with history of massive bleeding and diagnosed lately after recurrentbleeding history. Even though promising, one of our cases failed to be managed withTAE. It is important to diagnose early symptoms of AVM in order to prevent the lifethreatening event.Case presentation: In these case series, four cases of AVMs after cesarean procedureswill be reviewed. One could be diagnosed in less than a month but the other three tookseveral months. The symptom of vaginal bleeding might occur a few weeks after theprocedure is done, and most patients need transfusion and hospitalization. Three out offour patients were initially sent to the hospital in order to recover from shock condition,and one patient was sent for a diagnostic procedure. AVMs diagnostic was establishedwith ultrasound with or without angiography. Three of our cases were succeeded byperforming TAE procedure without further severe vaginal bleeding. One case failed tobe treated with embolization and had to proceed with hysterectomy.Conclusion: AVM should be considered early-on in patient with abnormal uterinebleeding and history of cesarean section. Embolization is still the first-choice treatmentof AVMs, otherwise definitive treatment is hysterectomy in a patient without fertilityneed, or impossible to perform TAE.

scholarly journals Secondary Postpartum Hemorrhage Following Cesarean Section

2018 ◽  
Vol 9 (1) ◽  
pp. 23-25
Author(s):  
Surayea Bul Bul ◽  
Zobaida Sultana Susan ◽  
Raunak Jahan ◽  
Abu Nayeem ◽  
Farzana Rahman ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Causes Of Death ◽  
Severe Anaemia ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Child Bearing ◽  
Secondary Postpartum Hemorrhage

Background : Complications of pregnancy and childbirth have always been one of the leading causes of death and disability among women of reproductive age in developing countries .Globally, postpartum haemorrhage is the single most important cause of maternal death, accounting for about 25% of the total and claiming an estimated 1,50,000 lives annually. Among the postpartum hemorrhage, the primary postpartum hemorrhage is more prevalent, but sufferings from secondary postpartum hemorrhage have been emerging. With the rising trend of cesarean section rate, the incidence of secondary postpartum hemorrhage is also rising.Objective: The objectives of this study is to evaluate secondary postpartum hemorrhage cases following cesarean section and vaginal delivery with the aim of reducing the maternal mortality at child bearing age.Methods: This is a cross sectional observational study in the department of Obstetrics and Gynaecology, DMCH , by purposive sampling method. Total 100 cases of secondary PPH were observed during 1st January 2013 to 31 December 2013.Result: In this study, among the cases 67% were following cesarean section and 33% were following vaginal delivery, mean age of the patients were 29 year, parity ranges from 1 to 5. Regarding the outcome of secondary PPH, severe anaemia, anaemic heartfailure, renal failure and DIC were common in cesarean sections along with hazards of massive blood transfusion and jaundice. 7 patients were died in post cesarean cases and 2 died in post vaginal delivery cases. Causes of death were due to hemorrhagic shock & septicemia.Conclusion: In this is study, the rate of secondary PPH is 67% following cesarean section which is very much alarming . The outcome of secondary PPH following cesarean section is worse than vaginal delivery.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 23-25

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.

scholarly journals Uterine Arteriovenous Malformation Acquired after Cesarean Section: A Case Report

2021 ◽  
Vol 11 (11) ◽  
pp. 1512-1516
Author(s):  
Ana Lúcia Isotton ◽  
Leandro Armani Scaffaro ◽  
Ellen Machado Arlindo ◽  
Anne Bergmann ◽  
Nicolas Karpouzas Vicentini ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Arteriovenous Malformation ◽  
Uterine Arteriovenous Malformation

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 Congenital Uterine Arteriovenous Malformation Presenting as Postcoital bleeding: A Rare Presentation of a Rare Clinical Condition

2017 ◽  
Vol 7 ◽  
pp. 11 ◽  
Author(s):  
Neha Agarwal ◽  
Seema Chopra ◽  
Neelam Aggarwal ◽  
Ujjwal Gorsi
Keyword(s):  
Arteriovenous Malformation ◽  
Clinical Condition ◽  
Stable Condition ◽  
Rare Condition ◽  
Management Options ◽  
Rare Presentation ◽  
Uterine Arteriovenous Malformation ◽  
Multiparous Women ◽  
History Of ◽  
Risk Of Hemorrhage

Congenital uterine arteriovenous malformation (AVM) is an extremely rare condition with <100 cases documented in literature. We report multiparous women presenting to us with a history of postcoital bleed. Initial Doppler ultrasonography was consistent with features suggestive of AVM. Subsequently, computed tomography (CT) angiography confirmed the diagnosis. Embolization was chosen as the treatment because of the large extension of AVM and the risk of hemorrhage during hysterectomy. The patient was discharged in a stable condition with a plan of repeat embolization in the next setting. At 6 and 12 weeks of follow-up, she did not experience any further episodes of bleed. The purpose of this case report is to highlight the salient clinical features, diagnosis, and the management options available for this rare clinical condition.

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