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September 26, 2007Ultrasound in Obstetrics and Gynecology

Pelvic arterial pseudoaneurysm—a rare complication of Cesarean section: diagnosis and novel treatment

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Why the study?

Does ultrasound-guided direct thrombin injection successfully treat pelvic arterial pseudoaneurysm in patients with late postpartum hemorrhage following Cesarean section?

Population

2 patients with late postpartum hemorrhage following Cesarean section attributed to pelvic arterial…

Design

Case_series

Authors

MKMihal KovoDBDaniel BéharVFV. Friedman

Discussion

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Implication

May offer minimally invasive option for postpartum pseudoaneurysm; hypothesis-generating and requires prospective validation before practice change.

Structured PICO

Does ultrasound-guided direct thrombin injection successfully treat pelvic arterial pseudoaneurysm in patients with late postpartum hemorrhage following Cesarean section?

P
Population
2 patients with late postpartum hemorrhage following Cesarean section attributed to pelvic arterial pseudoaneurysm
I
Intervention
Percutaneous or transvaginal ultrasound-guided direct thrombin injection
O
Outcome
Successful treatment of pseudoaneurysm and hemorrhage

Ultrasound-guided direct thrombin injection is a simple, effective novel treatment for pelvic arterial pseudoaneurysm causing delayed postpartum hemorrhage.

Cite This Study

Kovo et al. (2007) studied this question.

synapsesocial.com/papers/6a90ebedc39ca0eda182ff86https://doi.org/10.1002/uog.5139
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A pelvic pseudoaneurysm (a rare complication of oocyte retrieval for IVF) treated by arterial embolization2006 · 19 citations
  2. 2Pseudoaneurysm of the Uterine Artery After an Uncomplicated Spontaneous Vaginal Delivery2006 · 46 citations
  3. 3Pseudoaneurysms and the Role of Minimally Invasive Techniques in Their Management2005 · 576 citations
  4. 4Obstetric Iatrogenic Arterial Injuries of the Uterus: Diagnosis with US and Treatment with Transcatheter Arterial Embolization2002 · 189 citations
  5. 5Secondary Postpartum Hemorrhage: Treatment with Selective Arterial Embolization1999 · 201 citations