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Pelvic arterial pseudoaneurysm—a rare complication of Cesarean section: diagnosis and novel treatment
Author(s) -
Kovo M.,
Behar D. J.,
Friedman V.,
Malinger G.
Publication year - 2007
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.5139
Subject(s) - medicine , pseudoaneurysm , laparotomy , surgery , embolization , percutaneous , complication , uterine artery , radiology , arterial embolization , ultrasound , pregnancy , gestation , biology , genetics
An uncommon cause of delayed postpartum hemorrhage is a pseudoaneurysm of the uterine artery. Pelvic arterial pseudoaneurysm is generally treated by laparotomy and hemostatic sutures or by uterine artery embolization. We describe two cases of late postpartum hemorrhage following Cesarean section, attributed to pelvic arterial pseudoaneurysm, that were successfully treated by direct thrombin injection under ultrasound guidance. Percutaneous or transvaginal ultrasound‐guided direct thrombin injection is a simple procedure that does not require any sophisticated surgical or radiological equipment. Copyright © 2007 ISUOG. Published by John Wiley & Sons, Ltd.