Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy.
Pelvic haemorrhage is a rare but important complication that may follow sacrospinous fixation of the vaginal vault. When such complication occurs, packing and clipping of the involved artery is often suggested as the first-line treatment, while arterial embolization is considered only after failure of surgery. In this report, we describe the successful super-selective embolization of a variant of the superior vesical artery in a patient who underwent Endo-Stitch sacrospinous colpopexy. Based on our experience, we suggest that when a well-trained radiological staff is available, endovascular embolization is an effective and less invasive option.
D000368:Aged; D052858:Cystocele / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D019106:Postoperative Hemorrhage / Q000628:therapy*; D020047:Rectocele / Q000601:surgery; D012187:Retroperitoneal Space; D013536:Suture Techniques; D001743:Urinary Bladder / Q000098:blood supply*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*