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July 1, 2012Expert Review of Obstetrics & Gynecology

Postpartum hemorrhage caused by uterine artery pseudoaneurysm and uterine rupture after vaginal delivery

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Population

A patient with massive hemoperitoneum determined by uterine rupture and uterine artery pseudoaneurysm…

Design

Case_report

Authors

MOMassimo OrigoniVita-Salute San Raffaele UniversityCGChiara GelardiMarche Polytechnic UniversityFPFederica PasiVita-Salute San Raffaele University

Discussion

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Implication

Alerts clinicians to suspect uterine artery pseudoaneurysm in atypical postpartum hemorrhage; leaves open need for prospective validation of bleeding patterns as prognostic markers.

Structured PICO

P
Population
A patient with massive hemoperitoneum determined by uterine rupture and uterine artery pseudoaneurysm dissection after vaginal delivery, along with 12 cases from a literature review of uterine artery pseudoaneurysm and associated postpartum hemorrhage after vaginal delivery.
I
Intervention
Emergency laparotomy with arterial ligation

Uterine artery pseudoaneurysm dissection should be suspected in patients presenting with early or delayed postpartum hemorrhage after vaginal delivery, especially when external blood loss is absent.

Cite This Study

Origoni et al. (2012) studied this question.

synapsesocial.com/papers/6a90ebdb55de849fda7a6e28https://doi.org/10.1586/eog.12.33
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pelvic arterial pseudoaneurysm—a rare complication of Cesarean section: diagnosis and novel treatment2007 · 52 citations
  2. 2Sonographic diagnosis of postpartum pseudoaneurysms of the uterine artery: A report of 2 cases2009 · 12 citations
  3. 3Postpartum hemorrhage - update on problems of definitions and diagnosis*2011 · 231 citations
  4. 4Postpartum Hemorrhage: Epidemiology, Risk Factors, and Causes2010 · 413 citations