title: Intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm: superselective arteriographic embolization via the collateral route.
abstract: We present a patient with intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm despite bilateral hypogastric artery ligation who was successfully treated by an endovascular approach via the collateral route. Although there is a good argument for postponing surgery until transcatheter embolization has been attempted, this case shows that embolization can still be successful even if the iliac vessels have been ligated.
authors.affiliation: Department of Radiology, S.B. Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, TR-06110, Diskapi, Ankara, Turkey. hdonmez68@yahoo.com
authors.forename: Halil
authors.initials: H
authors.lastname: Dönmez
authors.forename: M Halil
authors.initials: MH
authors.lastname: Oztürk
authors.forename: Fatma
authors.initials: F
authors.lastname: Gürgen
authors.forename: Serra O
authors.initials: SO
authors.lastname: Soylu
authors.forename: Baki
authors.initials: B
authors.lastname: Hekimoglu
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D001158:Arteries / Q000473:pathology; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014599:Uterus / Q000098:blood supply*