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An uncommon cause of postpartum hemorrhage after cesarean section treated with selective arterial embolization: Pseudoaneurysm of the uterine pedicle / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology ; : 2236-2240, 2004.
Artículo en Coreano | WPRIM | ID: wpr-227244
ABSTRACT
This is a very important differential diagnosis for postpartum hemorrhage following cesarean delivery because repeated life-threatening bleeding may induce multiple blood transfusion and require emergency surgery including hysterotomy. False or pseudoanuerysm can be acquired in association with trauma, previous surgery, trophoblastic disease, neoplasm, infection or diethylstilbestrol exposure. When a punctured or lacerated artery does not seal completely, blood may escape and dissects the adjacent tissues, and collects in perivascular areas. If this collection maintains in communication with the parent vessel, a pseudoaneurysm could result. Typically the lesion are discovered because the patients have symptoms related to delayed rupture of the pseudoaneurysms, causing hemorrhage. Radiographic techniques (angiography, ultrasound, and magnetic resonance imaging) have provided the opportunity to diagnose pseudoaneurysm, arteriovenous malformation. We report a case of postpartum hemorrhage following cesarean delivery attributed to a pseudoaneurysm of the uterine pedicle and treated with arterial embolization. Angiographic study confirmed the diagnosis and embolization of the false aneurysm was successful in controlling the hemorrhage.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Padres / Arterias / Malformaciones Arteriovenosas / Rotura / Trofoblastos / Naciones Unidas / Transfusión Sanguínea / Cesárea / Ultrasonografía / Aneurisma Falso Tipo de estudio: Estudio diagnóstico Límite: Femenino / Humanos / Embarazo Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Padres / Arterias / Malformaciones Arteriovenosas / Rotura / Trofoblastos / Naciones Unidas / Transfusión Sanguínea / Cesárea / Ultrasonografía / Aneurisma Falso Tipo de estudio: Estudio diagnóstico Límite: Femenino / Humanos / Embarazo Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Año: 2004 Tipo del documento: Artículo