title: Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization.
abstract: Secondary postpartum hemorrhage due to an intraperitoneal bleed following a vaginal delivery is extremely rare. We present a case of spontaneous rupture of the uterine artery following a normal vaginal delivery with a delayed presentation, which resulted in significant morbidity. This case discusses the presentation and management of this rare obstetrical emergency. The report also discusses the role of selective arterial embolization in management of secondary postpartum hemorrhage.
authors.affiliation: Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan; Division of Genetic and Metabolic Disorders, Department of Pediatrics and Center for Molecular Medicine and Genetics, Wayne State University/Detroit Medical Center, Detroit, Michigan.
authors.forename: Mili
authors.initials: M
authors.lastname: Thakur
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Hurley Medical Center, Flint, Michigan.
authors.forename: Henry O
authors.initials: HO
authors.lastname: Adekola
authors.affiliation: Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan.
authors.forename: Radwan
authors.initials: R
authors.lastname: Asaad
authors.affiliation: Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan.
authors.forename: Bernard
authors.initials: B
authors.lastname: Gonik
keywords: hemorrhagic shock; intraperitoneal bleeding; secondary postpartum hemorrhage; spontaneous uterine artery rupture; uterine artery embolization