Open AccessCAUSE DHEMORRAGIE POST PARTUM A LAQUELLE IL FAUT PENSER: PSEUDO-ANEVRISME DE LARTERE UTERINE APRES UNE CESARIENNE, A PROPOS DUN CAS
Author(s) -
Meimouna Mohamed Lemine Issehaghe,
Khadija Bouras,
Nessiba Abdelkadr Mohamed Zeine,
Nisrine Mamouni,
Errarhay Sanae,
C. Bouchikhi,
Abdel Aziz Banani,
Farid Aassouani,
Mohamed Maâroufi
Publication year - 2021
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/12788
Subject(s) - medicine , uterine artery , pseudoaneurysm , post partum , ligature , surgery , hysterectomy , arterial embolization , complication , caesarean section , uterine artery embolization , embolization , radiology , gynecology , pregnancy , gestation , genetics , biology
Pseudoaneurysm of the uterine artery is a rare and poorly understood complication of Caesarean section or endocavitary manipulation. It can be responsible for severe postpartum hemorrhage, most often secondary or retarded. We present here a case of pseudoaneurysm of the left uterine artery diagnosed and treated in the gynecological-obstetrics department I, CHU HASSAN II DE FES. The diagnosis was guided by ultrasound but uterine arteriography of the uterine arteries remains a determining factor in establishing and making the diagnosis and also guiding the treatment.Selective arterial embolization was the treatment of choice. It has excluded the lesion, but vascular ligature or hysterectomy may be necessary if the patient is hemodynamically unstable.