title: Unilateral recanalisation of hypogastric artery after ligation for postpartum haemorrhage treatment.
abstract: Internal iliac artery ligation has been a valued method of treating postpartum haemorrhage saving women's fertility. It is considered as an irreversible procedure with no possibility of recanalisation. The manuscript concerns a case of unilateral recanalisation of the hypogastric artery after ligation as a method of postpartum haemorrhage treatment.
  
  
  METHODS
  24 year old woman with body mass index 28 kg/m(2) with ligated internal iliac arteries due to postpartum haemorrhage. In the place of surgical ligation, the partial recanalisation of the internal iliac artery was noticed. Five mm under the narrowing there was found the telectasis of vessel's diameter with turbulent blood flow and contrast back. There can occur partial recanalization in the ligated internal iliac artery after obliteration in postpartum haemorrhage treatment. Exfoliation of endothelium shows that the process of recanalisation may be a risk factor of further complications of internal iliac artery ligation.
authors.affiliation: Department of Gynaecology and Obstetrics, Provincial Hospital, Przemysl, Poland ; Institute of Obstetrics and Medical Lifesaving, University of Rzeszow, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Raba
keywords: hypogastric artery; postpartum haemorrhage; recanalisation
references.citation: Climacteric. 2011 Feb;14(1):54-7
references.pmid: 20128664
references.citation: Wideochir Inne Tech Maloinwazyjne. 2012 Jun;7(2):111-3
references.pmid: 23256011
references.citation: Chirurg. 2003 Dec;74(12):1167-9
references.pmid: 14673540
references.citation: Clin Nephrol. 2009 Mar;71(3):359-62
references.pmid: 19281754
references.citation: J Vasc Surg. 2004 Jan;39(1):250-3
references.pmid: 14718848
references.citation: J Vasc Surg. 2004 Mar;39(3):672-5
references.pmid: 14981467
references.citation: BJOG. 2007 Mar;114(3):356-61
references.pmid: 17261120
references.citation: J Obstet Gynaecol. 2005 Apr;25(3):273-4
references.pmid: 16147734
references.citation: Orv Hetil. 2005 Jun 12;146(24):1279-85
references.pmid: 16025996
references.citation: Cardiovasc Intervent Radiol. 2002 Jul-Aug;25(4):320-2
references.pmid: 12324818