Angiographic embolisation is a safe and effective procedure for treating postpartum haemorrhage resulting from uterine artery pseudoaneurysm in haemodynamically stable patients.
Supports embolisation for stable PPH from uterine artery PA post-C/S; leaves open ligation role and need for comparative data.
Uterine artery pseudoaneurysm (PA) is a rare but serious complication of caesarean section (C/S). If inadequately treated, it can lead to life-threatening postpartum haemorrhage. We report the case of a 28-year-old woman who developed secondary postpartum haemorrhage resulting from uterine artery PA after C/S. Angiographic embolisation is a safe and effective procedure for treating postpartum haemorrhage resulting from PA in haemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for haemodynamically unstable patients when preservation of fertility is desired.
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Barahmeh et al. (2017) studied this question.
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