Delayed presentation of intraperitoneal bladder rupture following domestic violence in pregnancy.

Trauma during pregnancy can present a unique challenge because of care for the mother and the fetus. About 6-7% of all pregnant patients are exposed to some sort of trauma, especially during the third trimester, with 0.3-0.4% requiring hospitalization. Although mostly accidental, injuries are sometimes caused by intentional violence. There is no published report on bladder rupture following trauma in pregnancy. We report a case of bladder injury following abdominal trauma in a pregnant woman.

Pseudoaneurysm of uterine artery: a rare cause of secondary postpartum hemorrhage, managed with uterine artery embolisation.

Uterine artery pseudoaneurysm is a rare cause of secondary postpartum hemorrhage but is potentially life-threatening and can occur after caesarean section (c-section) or a hysterectomy. A 28-year-old woman who developed secondary postpartum hemorrhage after c-section was diagnosed to have pseudoaneurysm from the left uterine artery on ultrasound (US) and computed tomography (CT) scan. She was treated with coiling of the pseudoaneurysm with stainless steel coil via selective catheterization of the uterine artery. The procedure was uneventful and the pseudoaneurysm was successfully obliterated. Angiographic embolization is a safe and effective method for treating postpartum hemorrhage due to pseudoaneurysm in hemodynamically stable patients. Therefore, it should be considered as a treatment option before resorting to surgery, in appropriately selected cases.