Fig 1 - uploaded by Muhammad Abdul Jamil Mohammad Yassin
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(a) Digital subtraction angiography (DSA) image of left internal iliac artery runs showing contrast extravasation (arrows) from the inferior vesicle branch (arrowheads) indicating an active bleed. (b) An oblique view showing more extravascular contrast accumulation in the delayed phase (arrows).
Source publication
Vulvo-vaginal haematomas are not an uncommon obstetric complication. Despite advances in obstetric care, practice and technique, vulvo-vaginal haematomas do occur especially in complicated vaginal deliveries. Various management options are available for vulvo-vaginal haematomas. We describe three cases of vulvo-vaginal haematomas with different sev...
Citations
... Unsuccessful bleeding control, progressive growth of hematoma, and failure to provide hemodynamic stability may require laparotomy and ligation of bleeding vessel or ligation of the internal iliac artery. 9 In our case, emergent laparotomy was performed due to hemodynamic instability. Because of failure to explore the internal iliac artery, we moved on to the pelvic angiographic embolization. ...
Puerperal hematoma is one of the life threatening obstetrical emergencies. Surgical ligation of bleeding vessel may not always be possible for the patients who were hemodynamically unstable, hence pelvic arterial angiography may be preferred as the first line treatment modality for these cases. Pelvic arterial angiography and embolization is a safe, tolerable, and minimally invasive treatment modality in the diagnosis and treatment of pelvic hemorrhage. We present a case of puerperal hematoma after a normal spontaneous delivery treated with bilateral iliac arterial embolization.
