Key result
Selective embolization of a left uterine artery pseudoaneurysm with platinum coils successfully achieved complete occlusion and clinical improvement in a patient with secondary postpartum hemorrhage.
Why the study?
Uterine artery pseudoaneurysm is a rare, potentially fatal cause of secondary postpartum hemorrhage that can lead to life-threatening hemorrhage if not diagnosed timely.
Case Report (n=1)
No
Selective embolization is an effective and life-saving intervention for uterine artery pseudoaneurysm, a rare cause of secondary post-partum hemorrhage.
Supports embolization for rare uterine artery pseudoaneurysm in secondary PPH; leaves open need for prospective studies.
Secondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the case of a 41-year-old woman who presented with profuse vaginal bleeding on 32nd day of cesarean section. On imaging a left uterine artery pseudoaneurysm was found in the uterine wall with blood clots in the uterine cavity. Patient was managed with aggressive fluid resuscitation and immediate interventional radiology procedure of selective embolization of pseudoaneurysm. High index of suspicion is needed to search for rare vascular causes like pseudoaneurysm.
No takes yet. Share an insight, caveat, or question.
Mule et al. (2022) conducted a case report in Secondary postpartum hemorrhage due to uterine artery pseudoaneurysm (n=1). Selective embolization with platinum coils was evaluated on Complete occlusion of pseudoaneurysm and clinical improvement. Selective embolization of a left uterine artery pseudoaneurysm with platinum coils successfully achieved complete occlusion and clinical improvement in a patient with secondary postpartum hemorrhage.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: