Open AccessOvarian Artery Embolization in a Case of Refractory Obstetric Hemorrhage
Author(s) -
Vikash Jain
Publication year - 2019
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.25259/jcis-39-2019
Subject(s) - medicine , uterine artery embolization , embolization , internal iliac artery , hysterectomy , refractory (planetary science) , ovarian artery , surgery , uterus , extravasation , uterine artery , radiology , pregnancy , gestation , physics , astrobiology , biology , immunology , genetics
Transcatheteric pelvic artery embolization (PAE) has now become accepted treatment for obstetric hemorrhage providing us the opportunity to control bleeding and avoiding surgical morbidity, preserving uterus, and subsequent fertility. There is little we can offer to the patient if bleeding persists after obstetric hysterectomy and embolization of bilateral uterine and hypogastric arteries. Here in, we present a case of refractory post obstetric hysterectomy hemorrhage where uterine and internal iliac artery embolization failed to control the bleeding. Aortic angiogram showed active contrast extravasation from the ovarian artery, which was successfully embolized with good clinical outcome.