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[Ruptured uterine artery pseudo-aneurysm treated by embolization for post-partum bleeding: About 2 cases]
1Service de radiologie, CHU de Caen, avenue Côte-de-Nacre, 14000 Caen, France. goupil.j@gmail.com
Summary
Ruptured pseudo-aneurysms of uterine arteries can cause severe postpartum hemorrhage. Embolization of these arteries offers a successful, non-surgical treatment option, avoiding hysterectomy.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Obstetrics & Gynecology
Background:
- Postpartum hemorrhage (PPH) is a significant cause of maternal morbidity and mortality.
- Pseudo-aneurysms of the uterine arteries are uncommon but serious complications leading to PPH.
- Ruptured pseudo-aneurysms can present with life-threatening intra-abdominal bleeding.
Observation:
- Two cases of ruptured uterine artery pseudo-aneurysms are presented.
- One case manifested as hemoperitoneum (blood in the abdominal cavity).
- The second case presented as a large retroperitoneal hematoma.
Findings:
- Both cases were successfully treated with uterine artery embolization.
- Embolization effectively stopped the arterial bleeding.
- Immediate clinical success was achieved in both patients.
Implications:
- Uterine artery embolization is a minimally invasive and effective treatment for ruptured pseudo-aneurysms causing PPH.
- This endovascular technique can obviate the need for surgical intervention, such as hysterectomy.
- Preserving fertility may be an advantage of embolization over surgical management.
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