Uterine artery pseudoaneurysm: a rare cause of secondary postpartum haemorrhage following caesarean section

Dasari, Papa; Maurya, Dilip Kumar; Mascarenhas, Mariano

doi:10.1136/bcr.01.2011.3709

Cited by 12 publications

(8 citation statements)

References 9 publications

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“…Papa Dasari has reported an identical case on the 19th day after caesarean section treated by bilateral internal artery ligation as facilities for embolisation were not available [6].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage

Chitra

Panicker

2011

J Obstet Gynecol India

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Objectives Secondary PPH has received little attention. In more than half of cases the etiology is not made out. Vascular abnormalities like pseudoaneurysm and AV malformation are rare but detectable and easily treatable. Methods This is an analysis of five women presenting with severe secondary PPH after the 3rd to 6th week of postpartum. All women were post LSCS with no identifiable cause and referred for further management. They were diagnosed to have pseudoaneurysm by angiography and uterine artery embolisation was done. Results Five women were analysed. Four of them had a pseudoaneurysm and were embolised one woman was hemodynamically unstable and hence taken up for hysterectomy. Conclusion Pseudoaneurysm is an important vascular abnormality especially following LSCS. Uterine artery embolisation is safe and reliable alternative technique and prevents a hysterectomy.

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“…Papa Dasari has reported an identical case on the 19th day after caesarean section treated by bilateral internal artery ligation as facilities for embolisation were not available [6].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage

Chitra

Panicker

2011

J Obstet Gynecol India

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“…Embolization may also be performed bilaterally in women with massive bleeding 7 . In resource‐limited settings, surgical uterine artery ligation is an alternative to preserve fertility 8 . Hysterectomy may have to be considered in some patients with life‐threatening hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Pseudo aneurysm of the uterine artery with arteriovenous fistula after cesarean section: A rare but sinister cause of delayed postpartum hemorrhage

Pohlan

Hinkson

Wickmann

et al. 2020

J of Clinical Ultrasound

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Pseudoaneurysm of the uterine artery is a rare complication of cesarean section. Delayed diagnosis and management may result in rapid and catastrophic postpartum hemorrhage and may necessitate hysterectomy or can even be fatal. A 28‐year‐old woman (gravida I, para I) presented with delayed postpartum hemorrhage 10 days after emergency cesarean section. Using transabdominal and transvaginal Color Doppler sonography, we detected a pseudoaneurysm in the posterior uterine wall, which was successfully treated with selective embolization distal and proximal to the lesion with platinum coils. In patients with delayed postpartum hemorrhage—especially after cesarean section—the rare possibility of uterine artery pseudoaneurysm must be kept in mind.

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“…The diagnosis of a pseudoaneurysm can be made by color Doppler ultrasonography, computed tomography (CT), magnetic resonance imaging, and angiography. Angiography, however is the gold standard method in diagnosis of uterine artery pseudoaneurysm 4 .…”

Section: Discussionmentioning

confidence: 99%

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

Kokolakis¹,

Makrigiannakis²,

Ziogou³

et al. 2020

HJOG

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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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Uterine artery pseudoaneurysm: a rare cause of secondary postpartum haemorrhage following caesarean section

Cited by 12 publications

References 9 publications

Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage

Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage

Pseudo aneurysm of the uterine artery with arteriovenous fistula after cesarean section: A rare but sinister cause of delayed postpartum hemorrhage

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

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