False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after Cesarean section treated with selective arterial embolization

Department of Obstetrics and Gynaecology, Rouen University Hospital -- Charles Nicolle, Rouen, France.
European Journal of Obstetrics & Gynecology and Reproductive Biology (Impact Factor: 1.7). 08/2001; 97(1):26-9. DOI: 10.1016/S0301-2115(00)00482-6
Source: PubMed


We report three cases of post-partum haemorrhage following caesarean delivery attributed to a false aneurysm of the uterine pedicle and treated with artery embolization. These lesion were probably post-traumatic in origin related to hysterotomy. Angiographic study of the anterior division of hypogastric arteries confirmed the diagnosis and embolization of the false aneurysm was successful in controlling the haemorrhage.

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    • "Uterine artery pseudoaneurysm (UAP) is a rare but lifethreatening complication of uterine surgery, especially in cesarean section (C/S) [1] [2]. This condition may result in secondary postpartum hemorrhage, which is defined as hemorrhage that occurs between 24 hours and 6–12 weeks postpartum [3]. "
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    ABSTRACT: Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.
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