title: Embolization of the inferior mesenteric artery for post-partum hemorrhage with a vaginal laceration: A case with unusual collateral supply.
abstract: A 36-year-old primipara woman was referred to the interventional department for management of severe primary post-partum hemorrhage with a vaginal laceration after a normal vaginal delivery. Angiography revealed that the superior rectal branch of the inferior mesenteric artery was one of the origins of persistent vaginal bleeding following embolization of both uterine arteries. The patient was successfully treated by selective embolization without other complications. Our case report highlights that the inferior mesenteric artery should be considered as an unusual extrauterine source for post-partum hemorrhage.
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
authors.forename: Cho Hee
authors.initials: CH
authors.lastname: Kim
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
authors.forename: Gyeong Sik
authors.initials: GS
authors.lastname: Jeon
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
authors.forename: Shin Jae
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
authors.forename: Suk Ho
authors.initials: SH
authors.lastname: Kang
mesh_terms: D000328:Adult; D000792:Angiography; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D022125:Lacerations / Q000000981:diagnostic imaging / Q000628:therapy*; D017537:Mesenteric Artery, Inferior / Q000000981:diagnostic imaging; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D014621:Vagina / Q000098:blood supply* / Q000293:injuries
keywords: critical care obstetrics; post-partum hemorrhage; transarterial embolization