Intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm: superselective arteriographic embolization via the collateral route.
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.
Dönmez
Halil
H
Department of Radiology, S.B. Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, TR-06110, Diskapi, Ankara, Turkey. hdonmez68@yahoo.com
Oztürk
M Halil
MH
Gürgen
Fatma
F
Soylu
Serra O
SO
Hekimoglu
Baki
B
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*