CAUSE DHEMORRAGIE POST PARTUM A LAQUELLE IL FAUT PENSER: PSEUDO-ANEVRISME DE LARTERE UTERINE APRES UNE CESARIENNE, A PROPOS DUN CAS

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.