Case reports

Secondary postpartum haemorrhage with uterine artery pseudoaneurysm after caesarean section, managed with uterine artery embolisation

S Barahmeh, S H Edwan

Abstract


Uterine artery pseudoaneurysm (PA) is a rare but serious complication of caesarean section (C/S). If inadequately treated, it can lead to life-threatening postpartum haemorrhage. We report the case of a 28-year-old woman who developed secondary postpartum haemorrhage resulting from uterine artery PA after C/S. Angiographic embolisation is a safe and effective procedure for treating postpartum haemorrhage resulting from PA in haemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for haemodynamically unstable patients when preservation of fertility is desired.


Authors' affiliations

S Barahmeh, Department of Obstetrics and Gynaecology, Consultative Arab Hospital, Ramallah, Palestine

S H Edwan, Interventional Radiology Department, Consultative Arab Hospital, Ramallah, Palestine

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Keywords

Post partum hemorrhage; cesarean section; Pseudoaneurysm of uterine artery

Cite this article

South African Journal of Obstetrics and Gynaecology 2017;23(1):28-30. DOI:10.7196/SAJOG.2017.v23i1.1105

Article History

Date submitted: 2016-08-19
Date published: 2017-05-16

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