[Uterine artery false aneurysm after caesarean delivery: an uncommon cause of post-partum haemorrhage].
We describe a case of late post-partum haemorrhage from uterine artery pseudo-aneurysm secondary to the vascular trauma induced by a previous caesarean section. This rare aetiology should be known by anaesthesiologists since treatment by arterial embolization is safe and effective whereas curettage usually recommended for primary post-partum haemorrhage can aggravate the bleeding. This diagnosis should be considered in front of late genital bleeding without obvious cause and lead to perform a sonographic examination with Doppler-scan before diagnostic and therapeutic arteriography, eventually preceded by diagnostic MRI.
ServiceAnesthésie Réanimation Chirurgicale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France. patrick.bardou@yahoo.fr
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Bardou
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Orabona
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Vincelot
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Maubon
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Nathan
D000328:Adult; D017541:Aneurysm, False / Q000150:complications*; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology*; D055988:Uterine Artery