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Pseudo aneurysm of the uterine artery after cesarean section: Case Report
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Pezhman Kharazm1    , Fatemeh Pouladkhay2 , Tayebeh Azarmehr3 , Farahnaz Sadat Ahmadi4 , Fatemehzahra Bagheri * 5 |
1- Assistant Professor of Vascular Surgery, Department of Surgery, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
2- Master of Science in Operating Room, Instructor, Operating Room Department, Golestan University of Medical Sciences, Gorgan, Iran.
3- Master of Science in Operating Room, Instructor, Operating Room Department, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
4- Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
5- Master of Science in Operating Room, Shahid Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran. , bagheri.z1994@gmail.com |
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Abstract: (7368 Views) |
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 patient's fertility.
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Keywords: Aneurysm False [MeSH], Uterine Artery [MeSH], Postpartum Hemorrhage [MeSH], Uterine Artery Embolization [MeSH]
Article ID: Vol23-32 |
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Full-Text [PDF 948 kb]
(17041 Downloads)
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Type of Study: Case Report |
Subject:
Surgery
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