Pseudo aneurysm of the uterine artery after cesarean section: Case Report

• Main Authors: Pezhman Kharazm, Fatemeh Pouladkhay, Tayebeh Azarmehr, Farahnaz Sadat Ahmadi, Fatemehzahra Bagheri
• Format: Article
• Language: fas
• Published: Golestan University of Medical Sciences 2021-07-01
• Series: مجله دانشگاه علوم پزشکی گرگان
• Subjects: aneurysm false; uterine artery; postpartum hemorrhage; uterine artery embolization
• Online Access: http://goums.ac.ir/journal/article-1-3837-en.html

Late postpartum hemorrhage (PPH), as an unpredictable obstetrics emergency, is characterized as a leading cause of mortality and maternal complications worldwide. Uterine artery pseudoaneurysm (UAP) is a rare cause of PPH, which may develop after uncomplicated cesarean and Gynecologic surgeries, including dilatation and curettage, hysterectomy, and myomectomy. Uterine artery embolization has become a popular treatment for postpartum hemorrhage. In this case report, we present a patient with PPH due to UAP who was treated by endovascular embolization of the uterine artery. A 39-years-old woman was admitted 55 days after her third cesarean section due to massive vaginal bleeding resulting in severe hemodynamic derangements. After initial resuscitative measures, diagnostic studies revealed the UAP, and soon after, the coil embolization of the uterine artery was performed. When conservative managements fail to control massive late postpartum hemorrhage, angiography and embolization of the uterine artery can be the modality of choice, rather than hysterectomy (with its potential complications) which preserves the patientchr('39')s fertility.