Angioembolization to Control Postoperative Bleeding From the Uterine Artery Two Weeks After Hysterectomy

Conservative endovascular management for intractable delayed hemorrhage after laparoscopic-assisted vaginal hysterectomy: Two case reports

“…Reactionary hemorrhage (24–48 h after surgery) [ [2] , [3] , [4] , 8 ] and delayed hemorrhage from the vaginal stump (which occurs thereafter) are rare complications of hysterectomy [ 1 , [6] , [7] , [8] , [9] ]. Delayed hemorrhage after hysterectomy is less common than reactionary hemorrhage, with a reported incidence of 12–27% of all cases of hemorrhage after hysterectomy [ 2 , 3 , 8 ].…”

“…Hysterectomy is a common gynecological surgical procedure performed for benign and malignant conditions [ 1 ]. Hemorrhage after hysterectomy is an infrequent but potentially life-threatening complication that may require immediate intervention [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] ]. In addition to reactionary hemorrhage, which is defined as occurring 24–48 h after hysterectomy [ [2] , [3] , [4] , 8 ], delayed hemorrhage from the vaginal stump, which occurs thereafter, is of significant concern and may be life-threatening [ 1 , [5] , [6] , [7] , [8] ].…”

“…Most cases involving delayed hemorrhage can be managed by vaginal packing with or without transvaginal suturing of the vaginal vault [ 1 ]. However, the failure of such primary management results in a diagnostic and therapeutic challenge requiring urgent further intervention [ 1 , [6] , [7] , [8] ].…”