Key result
Selective transcatheter arterial embolization successfully obliterated a left uterine artery pseudoaneurysm in a 26-year-old woman presenting with secondary postpartum hemorrhage.
Case Report (n=1)
No
Selective transcatheter arterial embolization is a safe, effective, and fertility-preserving treatment option for secondary postpartum hemorrhage caused by uterine artery pseudoaneurysm.
Supports embolization in rare uterine artery pseudoaneurysm cases; hypothesis-generating and should not change practice without larger studies.
Uterine artery pseudoaneurysm is an uncommon cause of secondary postpartum hemorrhage, although it carries a high mortality rate. The etiology includes vascular trauma during cesarean section, vaginal delivery, curettage or hysterotomy. We present a post-cesarean female who developed delayed hemorrhage and was diagnosed with left uterine artery pseudoaneurysm. Selective transcatheter arterial embolization was performed and the pseudoaneurysm was successfully obliterated. Angiographic embolization is a safe and efficient method of treatment of postpartum hemorrhage due to pseudoaneurysm in hemodynamically stable patients. Thus, it should be considered as a treatment option before opting for surgery in favorable cases.
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Subramaniam et al. (2018) conducted a case report in Secondary postpartum hemorrhage due to uterine artery pseudoaneurysm (n=1). Selective transcatheter arterial embolization was evaluated on Obliteration of pseudoaneurysm. Selective transcatheter arterial embolization successfully obliterated a left uterine artery pseudoaneurysm in a 26-year-old woman presenting with secondary postpartum hemorrhage.
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