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Case report


Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage, Managed with Uterine Artery Embolisation

Pramya NanjundanMeenakshi RohillaAinharan RaveendranVanita JainNiranjanKhandelwal1
Date of Submission: 19-Dec-2010, Date of Acceptance: 10-Jan-2011, Date of Web Publication: 11-Feb-2011.
Corresponding Author:
Corresponding Author

Ainharan Raveendran

Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160 012, India
E-mail: rainharan@yahoo.co.in

Corresponding Author:
Corresponding Author

Ainharan Raveendran

Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160 012, India
E-mail: rainharan@yahoo.co.in

DOI: 10.4103/2156-7514.76692 Facebook Twitter Google Linkedin

ABSTRACT


Uterine artery pseudoaneurysm is a rare cause of secondary postpartum hemorrhage but is potentially life-threatening and can occur after caesarean section (c-section) or a hysterectomy. A 28-year-old woman who developed secondary postpartum hemorrhage after c-section was diagnosed to have pseudoaneurysm from the left uterine artery on ultrasound (US) and computed tomography (CT) scan. She was treated with coiling of the pseudoaneurysm with stainless steel coil via selective catheterization of the uterine artery. The procedure was uneventful and the pseudoaneurysm was successfully obliterated. Angiographic embolization is a safe and effective method for treating postpartum hemorrhage due to pseudoaneurysm in hemodynamically stable patients. Therefore, it should be considered as a treatment option before resorting to surgery, in appropriately selected cases.
Keywords: Angiography, Doppler, secondary postpartum hemorrhage, uterine artery embolization, uterine artery pseudoaneurysm

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