Management of haemorrhage in a case of acute fatty liver of pregnancy by internal iliac artery embolisation

Management of primary postpartum haemorrhage

“…A technique for which an experienced angiographic radiologist is required 30 and which may be available in specialist centres is radiographic embolisation. This can be used for bleeding persisting after hysterectomy 29 .…”

“…It may also be used when hysterectomy is contraindicated 30 or when the bleeding is from vaginal or cervical lacerations 31 . Recent case reports describe one woman who required three separate embolisations to control recurrent bleeding 30 and another woman successfully treated after two laparotomies (for hysterectomy and internal iliac ligation) and transfusion of 63 units of blood 29 . Sciatic nerve damage is a rare complication, collateral circulation maintains tissue viability, and pregnancy can follow bilateral internal iliac embolisation.…”

Acute fatty liver of pregnancy complicated with disseminated intravascular coagulation and haemorrhage: a case report

“…In obstetrics, in cases of acute uterine bleeding, besides massive transfusion, surgical interventions involving ligation of internal iliac artery and even hysterectomy are the main treatment choices (5,10,12). Embolisation procedures of uterine and internal iliac arteries appear to be the other possible treatment modalities (13,14).…”

Perkutane Katheterembolisation bei lebensbedrohlicher geburtshilflicher Blutung - ein Fallbericht

“…Die Tatsache der selektiven bis superselektiven Embolisationsmög lichke it vo n Arte rien 2. und 3. Ordnung bis hin zum kapillären Verschluß erklärt die we it besseren Behand lungs- Über wei tere 45 bis 1994 beschr ieben e Fälle geburtshilflichgynäko logische r Anwen dun g (außer Malignomen ) w ird an andere r Ste ile berichtet (6,8,9,12,13,14,15,16,17,181. Erfolgreich wa r die Methode in 43 de r Fälle.…”