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

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

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.


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.


1997 ◽  
Vol 76 (8) ◽  
pp. 773-778 ◽  
Author(s):  
Jean-Robert Giraud ◽  
Patrice Poulain ◽  
Arielle Renaud-Giono ◽  
Jean-Pierre Darnault ◽  
Jean-FranÇOis Proudhon ◽  
...  

2021 ◽  
Vol 10 (1) ◽  
pp. 22-23
Author(s):  
Sally Damra Elnour Mohammed ◽  
Mohammed Khidir Tayfor ◽  
Isra Mutasim Hamad ◽  
Mashaar Osama

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.


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