Author/Authors :
Eshraghi Nooshin نويسنده MD, Resident of Obstetrics and Gynecology , Aminimoghaddam Soheila نويسنده Assistant Professor of Obstetrics and Gynecology, Firoozgar Hospital , Kashanian Maryam نويسنده Department of Obstetrics and Gynecology, Shahid Akbarabadi Hospital, Tehran University of Medical Sciences, Tehran, IR Iran , Norouzi Sara نويسنده Resident, Department of Obstetrics and Gynecology, Iran University of Medical Sciences, Tehran, Iran , Babai Mohammadreza نويسنده Associate Professor, Interventionist, Department of Radiology, Iran University of Medical Sciences, Tehran, Iran
Abstract :
Introduction
Pseudoaneurysm of the uterine arteries is a rare cause of late postpartum hemorrhage (PPH) but could potentially be a life threatening complication.
Case Presentation
We report a case of a patient with pseudoaneurysm of the uterine arteries following a cesarean section, who presented with late PPH. Bilateral uterine artery ligation was done to conserve the uterus, however, the hemorrhage did not cease. In order to control the bleeding, embolization was suggested. During angiography, a pseudoaneurysm of the feeding femoral artery was noticed and embolization was performed to save the patient.
Discussion
Uterine artery pseudoaneurysm is one of the uncommon causes of secondary postpartum hemorrhage and could lead to a life-threatening situation. Management should be multidisciplinary and the gold standard for treatment and diagnosis is through interventional radiology.
