Intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm: superselective arteriographic

Halil Dönmez1, M Halil Oztürk, Fatma Gürgen

  • 1Department of Radiology, S.B. Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, TR-06110, Diskapi, Ankara, Turkey. hdonmez68@yahoo.com

We present a patient with intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm despite bilateral hypogastric artery ligation who was successfully treated by an endovascular approach via the collateral route. Although there is a good argument for postponing surgery until transcatheter embolization has been attempted, this case shows that embolization can still be successful even if the iliac vessels have been ligated.