Open AccessPostpartum Hemorrhage Resulting from Internal Iliac Artery Pseudoaneurysm
Author(s) -
Gözde Girgin
Publication year - 2020
Language(s) - English
DOI - 10.33169/gyne.obste.gaooaoj-i-106
Subject(s) - medicine , pseudoaneurysm , internal iliac artery , surgery , abdominal pain , uterine artery , radiology , vaginal bleeding , embolization , ligation , hydronephrosis , pregnancy , aneurysm , gestation , urinary system , biology , genetics , endocrinology
We describe a case of internal iliac artery pseudoaneurysm in a 38-year-old woman with postpartum hemorrhage following uterine artery ligation and uterine rupture repair. A 38-year-old female without any comorbid conditions or diseases who had previously given birth with a normal vaginal delivery was admitted to an external healthcare center with pain. The patient presented to our hospital on the 7th postoperative day with abdominal and side pain. We diagnosed the patient with ultrasonography and CT-angiogram imaging and she was treated with selective embolization. On the second day following the procedure, a regression in the previously identified hydronephrosis was observed using renal ultrasonography. The patient was discharged on the 14th day of hospitalization when she was clinically stable. Patients presenting with abdominal pain and hemorrhage after cesarean sections should be carefully evaluated for the possibility of uncommon complications, especially pseudoaneurysms, preferably with a multidisciplinary approach.