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Published on: May 29, 2021
Massive secondary postpartum hemorrhage with uterine artery pseudoaneurysm after cesarean section
Ahmet Ozgur Yeniel1, Ahmet Mete Ergenoglu, Ali Akdemir
1Department of Obstetrics and Gynecology, Ege University, Faculty of Medicine, Bornova, 35100 İzmir, Turkey.
Abstract:
Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.
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