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.
"Uterine artery pseudoaneurysm (UAP) is a rare but lifethreatening complication of uterine surgery, especially in cesarean section (C/S)  . This condition may result in secondary postpartum hemorrhage, which is defined as hemorrhage that occurs between 24 hours and 6–12 weeks postpartum . "
[Show abstract][Hide abstract] 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.
[Show abstract][Hide abstract] ABSTRACT: Spatial data management is a technique for organizing and retrieving information by positioning it in a graphical data space (GDS). This graphical data space is viewed through a color raster-scan display which enables users to traverse the GDS surface or zoom into the image to obtain greater detail. In contrast to conventional database management systems, in which users access data by asking questions in a formal query language, a spatial data management system (SDMS) presents the information graphically in a form that seems to encourage browsing and to require less prior knowledge of the contents and organization of the database.This paper presents an overview of the SDMS concept and describes its implementation in a prototype system for retrieving information from both a symbolic database management system and an optical videodisk.
ACM Transactions on Database Systems 12/1980; 5(4):493-513. DOI:10.1145/320610.320648 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Postpartum haemorrhage remains in the top five causes of maternal deaths in both developed and developing countries. Persistent blood loss of more than 1000 ml should prompt predetermined measures to achieve resuscitation and haemostasis. A protocol including guidelines is given and volume replacement is discussed. The range of medical and surgical interventions that may be considered for the modern management of major haemorrhage unresponsive to oxytocin and ergometrine are presented. The review discusses in depth the use of misoprostol, recombinant activated factor VII, the uterine tamponade procedures, artery ligation, and uterine haemostatic suturing techniques. It also evaluates the place of interventional radiology and hysterectomy in modern obstetrics.
Current Opinion in Obstetrics and Gynecology 01/2002; 13(6):595-603. DOI:10.1097/00001703-200112000-00008 · 2.07 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.