2017
DOI: 10.5468/ogs.2017.60.3.303
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Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture

Abstract: A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. A uterine artery pseudoaneurysm that causes delayed postpartum hemorrhage can occur after cesarean section or vaginal delivery. A uterine artery pseud… Show more

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Cited by 4 publications
(3 citation statements)
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“…As in our case, pseudoaneurysm of uterine artery has been seen following caesarean section 3. It has also been reported as a complication following dilatation and curettage,2 myomectomy,4 hysterectomy,5 oocyte retrieval for in vitro fertilisation and even after uncomplicated vaginal delivery 6. Typically, patients develop symptoms due to delayed rupture of pseudoaneurysms causing haemorrhage as was seen in our case.…”
Section: Discussionsupporting
confidence: 73%
“…As in our case, pseudoaneurysm of uterine artery has been seen following caesarean section 3. It has also been reported as a complication following dilatation and curettage,2 myomectomy,4 hysterectomy,5 oocyte retrieval for in vitro fertilisation and even after uncomplicated vaginal delivery 6. Typically, patients develop symptoms due to delayed rupture of pseudoaneurysms causing haemorrhage as was seen in our case.…”
Section: Discussionsupporting
confidence: 73%
“…Two types of UAPs have been reported: one that communicates with the uterine cavity and causes vaginal bleeding, and another with no communication and results in hematoma formation outside the uterus. The main clinical manifestation of UAP has been reported as abnormal vaginal bleeding, with a few patients reporting abdominal pain [11] or intra-abdominal bleeding [12]; however, it can also present with no obvious clinical manifestations. The presentation can vary from insidious bleeding to paroxysmal massive vaginal bleeding.…”
Section: Discussionmentioning
confidence: 99%
“…Eriksson et al followed up patients after interventional treatment of uterine artery pseudoaneurysm and observed no case of infertility after embolization 6 . Embolization may also be performed bilaterally in women with massive bleeding 7 . In resource‐limited settings, surgical uterine artery ligation is an alternative to preserve fertility 8 .…”
Section: Discussionmentioning
confidence: 99%