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Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage. | LitMetric

AI Article Synopsis

  • Secondary postpartum hemorrhage is a serious condition that can lead to significant health issues and mortality after childbirth, with uterine artery pseudoaneurysm being a rare but treatable cause.
  • A case is presented involving a 41-year-old woman who experienced severe vaginal bleeding 32 days after a cesarean section, ultimately diagnosed with a left uterine artery pseudoaneurysm.
  • The patient was treated promptly with fluid resuscitation and a selective embolization procedure to manage the bleeding, highlighting the importance of recognizing rare vascular complications like pseudoaneurysms in postpartum care.

Article Abstract

Secondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the case of a 41-year-old woman who presented with profuse vaginal bleeding on 32nd day of cesarean section. On imaging a left uterine artery pseudoaneurysm was found in the uterine wall with blood clots in the uterine cavity. Patient was managed with aggressive fluid resuscitation and immediate interventional radiology procedure of selective embolization of pseudoaneurysm. High index of suspicion is needed to search for rare vascular causes like pseudoaneurysm.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705131PMC
http://dx.doi.org/10.1055/s-0042-1755246DOI Listing

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