Post embolization complications in a case of uterine artery pseudoaneurysm
Keywords:
Pseudoaneurysm, Secondary postpartum hemorrhage, angiography, Uterine artery embolization, infective endocarditis
Abstract
Uterine artery pseudoaneurysm is a rare cause of secondary postpartum hemorrhage; it is potentially life-threatening and can occur after caesarean section (c-section) or a hysterectomy. A 30-year-old woman who developed secondary postpartum hemorrhage 7 weeks after c-section was diagnosed to have pseudoaneurysm of left uterine artery. Embolization of the pseudoaneurysm was done with gel foam. But two days later patient developed pseudoaneurysm of right femoral artery treated by vein graft and infective endocarditis treated by medical management.
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References
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2. Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: diagnosis with US and treatment with transcatheter arterial embolization. Radiograp. 2002; 22(1): 35-46. DOI:10.1148/radiographics.22.1. g02ja 0735
3. Hidar S, Bibi M, Atallah R, Essakly K, Bouzakoura C, Hidar M. [Pseudoaneurysm of the uterine artery: apropos of 1 case]. J GynecolObstet Biol Reprod (Paris). 2000; 29 (6):621-4. DOI:10.1097/00004583-200008000-00020
4. Pérez-Ezquerra BR, Carazo-Hernández B, Arribas-Marco T, Guardia-Dodorico L. [Pseudoaneurysm of the uterine artery after cesarean delivery]. GinecolObstet Mex. 2013;81(3):166-70.
5. Parr K, Hadimohd A, Browning A, Moss J. Diagnosing and treating postpartum uterine artery pseudoaneurysm. InBaylor University Medical Center Proceedings.Taylor & Francis. 2018;31(1):56-58). DOI: 10.1080/08998280.2017.1400301
6. Pelage JP, Fohlen A, Le Pennec V. [Role of arterial embolization in the management of postpartum hemorrhage]. J GynecolObstet Biol Reprod (Paris). 2014; 43 (10):1063-82. DOI: 10.1016/j.jgyn.2014.10. 002. Epub 2014 Nov 7.
7. Vilos GA, Urian R, Chang P, Kozak R. Femoral artery puncture site pseudoaneurysm formation following uterine artery embolization for symptomatic fibroids: a case report. J ObstetGynaecol Can. 2009; 31(3):263-266. DOI: 10.1016/S1701-2163(16)34125-1.
8. Wu CQ, Nayeemuddin M, Rattray D. Uterine artery pseudoaneurysm with an anastomotic feeding vessel requiring repeat embolisation. BMJ Case Rep. 2018. pii: bcr-2018-224656. DOI: 10.1136/bcr-2018-224656.
CITATION
DOI: 10.17511/joog.2019.i02.07
Published: 2019-06-30
How to Cite
Rajgopal, M., Gayam, S., Tabasum, A., Neelima, N., Rani, G., & Ahmed, S. (2019). Post embolization complications in a case of uterine artery pseudoaneurysm. Obs Gyne Review: Journal of Obstetric and Gynecology, 5(2), 125-127. https://doi.org/10.17511/joog.2019.i02.07
Section
Case Report
Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
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