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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