[Uterine artery pseudoaneurysm: an unusual cause of postpartum hemorrhage]

C Delesalle1, P Dolley1, G Beucher2

  • 1Département d'obstétrique, gynécologie et médecine de la reproduction, CHU de Caen, pôle Femme-Enfant, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Université de Caen Basse-Normandie, esplanade de La-Paix, 14032 Caen cedex 5, France.

Uterine artery pseudoaneurysm is a rare complication of cesarean section. It can lead to severe postpartum hemorrhage. We report three cases of pseudoaneurysm diagnosed late after cesarean delivery, one followed by hemorrhagic shock. Ultrasound may point to the diagnosis, but arteriography of uterine arteries is decisive for the diagnosis. Selective artery embolization is recommended for treatment. Main advantages are complete occlusion of the pseudoaneurysm and fertility preservation.

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