Pelvic arterial embolization following hysterectomy and bilateral internal iliac artery ligation for intractable primary post partum haemorrhage.
A case of successful arterial embolization following hysterectomy and bilateral internal iliac artery ligation for intractable primary post partum haemorrhage is described. The selected artery was a branch of the inferior epigastric artery. Little has been written to date in the radiological literature about embolization via pelvic collateral vessels following arterial ligation. Although there is a good argument for postponing surgery until transcatheter embolization has been attempted, this case demonstrates that embolization can still be successful even when performed following surgery.
Collins
C D
CD
Department of Radiology, Christie Hospital NHS Trust, Manchester, UK.
Jackson
J E
JE
D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D011859:Radiography; D015642:Radiology, Interventional