title: Embolization of Inferior Mesenteric Artery for Intractable Intrapelvic and Vaginal Bleeding After Hysterectomy.
abstract: Branches of the internal iliac artery or ovarian artery are the typical sources of pelvic hemorrhage. The inferior mesenteric artery has been rarely reported as the origin of pelvic bleeding. We present 2 cases of intractable intrapelvic and vaginal bleeding after hysterectomy. One patient underwent a hysterectomy because of uncontrolled postpartum hemorrhage and another underwent a vaginal hysterectomy to treat vaginal prolapse. Both patients were subjected to angiography to control continuous vaginal bleeding after hysterectomy. The angiography revealed that the bleeding originated from the inferior mesenteric artery. Selective embolization of the inferior mesenteric artery successfully controlled the intractable intrapelvic and vaginal bleeding without complications. The inferior mesenteric artery is a potential source of intractable intrapelvic and vaginal bleeding for patients with a lower genital tract injury.
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Cho Hee
authors.initials: CH
authors.lastname: Kim
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. Electronic address: hoopers@hanmail.net.
authors.forename: Shin Jae
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Gyeong Sik
authors.initials: GS
authors.lastname: Jeon
authors.affiliation: Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Suk Ho
authors.initials: SH
authors.lastname: Kang
authors.affiliation: Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Hyeon Chul
authors.initials: HC
authors.lastname: Kim
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy; D017537:Mesenteric Artery, Inferior; D008875:Middle Aged; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*
keywords: Hysterectomy; Inferior mesenteric artery; Intractable vaginal bleeding; Postpartum bleeding; Transcatheter embolization