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Erschienen in:
01.12.2011 | Original Article
Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage
Erschienen in: The Journal of Obstetrics and Gynecology of India | Ausgabe 6/2011
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Objectives
Secondary PPH has received little attention. In more than half of cases the etiology is not made out. Vascular abnormalities like pseudoaneurysm and AV malformation are rare but detectable and easily treatable.
Methods
This is an analysis of five women presenting with severe secondary PPH after the 3rd to 6th week of postpartum. All women were post LSCS with no identifiable cause and referred for further management. They were diagnosed to have pseudoaneurysm by angiography and uterine artery embolisation was done.
Results
Five women were analysed. Four of them had a pseudoaneurysm and were embolised one woman was hemodynamically unstable and hence taken up for hysterectomy.
Conclusion
Pseudoaneurysm is an important vascular abnormality especially following LSCS. Uterine artery embolisation is safe and reliable alternative technique and prevents a hysterectomy.