title: [Management of postpartum vaginal haematomas by embolisation: two cases].
abstract: Postpartum vaginal haematomas are a rare complication of delivery. The incidence of large haematomas is estimated at 1/4000 deliveries, and this complication can be life-threatening. We report two such cases. The diagnosis is suggested by shooting perineal pain with urinary tenesmus and vulvovaginal swelling or an unexplained haemorrhagic syndrome in the postpartum period. Rapid management is essential. Embolisation by interventional radiology is preferred to surgery. In the first case, arterial embolisation was performed after bilateral ligation of the hypogastric arteries failed. Arterial embolisation was the first-line treatment for the second patient. It was successful for both women.
authors.affiliation: Service C de gynécologie-obstétrique Centre de maternité de Tunis, Tunis, Tunisie.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Kehila
authors.forename: Sami
authors.initials: S
authors.lastname: Mahjoub
authors.forename: Sahbi
authors.initials: S
authors.lastname: Kebaili
authors.forename: Hatem
authors.initials: H
authors.lastname: Rajhi
authors.forename: Fouzia
authors.initials: F
authors.lastname: Zouari
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D004841:Episiotomy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006406:Hematoma / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D010146:Pain / Q000209:etiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000503:physiopathology / Q000628:therapy*; D014623:Vaginal Diseases / Q000503:physiopathology / Q000628:therapy*