Angiographic embolisation in the management of pelvic haemorrhage.
Haemorrhage from pelvic veins during obstetric and gynaecological surgery is a major cause of morbidity and mortality. In a recent commentary entitled The Seven Surgeons of King's: a fable by Aesop(1), surgeons from different specialties used techniques peculiar to their own practice to treat a woman with intractable haemorrhage. Could transcatheter arterial embolisation be the 'eighth surgeon'? We describe two cases where embolisation was used to control bleeding when local surgical measures had failed and discuss the use of embolisation in obstetrics and gynaecology.
Lingam
K
K
Department of Obstetrics and Gynaecology, Southern General Hospital, South Glasgow University NHS Trust.
Hood
V
V
Carty
M J
MJ
D000328:Adult; D003127:Colposcopy / Q000009:adverse effects; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D010388:Pelvis / Q000098:blood supply*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000628:therapy*; D011859:Radiography