Why the study?
Uterine artery pseudoaneurysm is an uncommon, potentially life-threatening vascular lesion that can cause acute massive hemorrhage postpartum, particularly following traumatic procedures such as cesarean delivery.
Uterine artery pseudoaneurysm is a rare but life-threatening complication of cesarean delivery that can be diagnosed with sonography and may require hysterectomy in cases of massive hemorrhage.
May warrant sonographic evaluation for uterine artery pseudoaneurysm in HELLP postpartum hemorrhage; hypothesis-generating for larger cohorts.
Uterine artery pseudoaneurysm is an uncommon vascular lesion that can be life threatening. A ruptured uterine artery pseudoaneurysm can cause acute massive hemorrhaging, creating a true emergency for the postpartum patient. The etiology is more commonly seen with traumatic procedures such as cesarean delivery or curettage. This case report is of a patient with a history of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome who presented with heavy bleeding after a cesarean delivery. Sonography was primarily used to diagnose the uterine artery pseudoaneurysm. Because of the massive hemorrhaging in this case, a hysterectomy was performed.
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DiGiacinto et al. (2018) studied this question.
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