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[Emergency embolization in gynaecological bleeding. Two case reports]
Rajhi Hatremi1, Amous Sameh, Salem Azza
1Service d'Imagerie Médicale Hôpital Charles Nicolle, Tunis.
Abstract:
Two patients with gynaecological hemorrhage underwent successfully trans-arterial embolization. The first womanhad an uncontrollable perineal hemorrhage following a delivery with forceps. Angiography showed extravasation of contrast from right and left vaginal artery. Hyperselective embolisation stopped the vaginal bleeding. The second woman had massive hemorrhage following radiotherapy for cervical cancer. Angiography demonstrated extravasation of contrast from both uterine arteries. The bleeding was controlled after hyperselective embolisation. Emergency arterial embolisation is a safe and effective means of control of irrepressible genital hemorrhage.
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