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01-01-2011 | Materno-fetal Medicine

Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization

Authors: Chiaki Nagayama, Masaki Gibo, Hayase Nitta, Tadakazu Uezato, Makoto Hirakawa, Hitoshi Masamoto, Kaoru Sakumoto, Yoichi Aoki

Published in: Archives of Gynecology and Obstetrics | Issue 1/2011

Abstract

Background

Rupture of a pseudoaneurysm after vaginal delivery is a rare cause of postpartum hemorrhage.

Case

A 29-year-old primigravida delivered a healthy boy by vacuum extraction at 38 weeks of gestation. The patient underwent repair of a right mediolateral episiotomy and left vaginal wall laceration. On the third postpartum day she experienced massive vaginal bleeding with vaginal wall laceration, and the vaginal bleeding progressively increased. A selective angiogram of the left internal iliac artery showed a pseudoaneurysm with extravasation originating from the left internal pudendal artery. Complete occlusion of the pseudoaneurysm was achieved by embolization of the left internal pudendal artery. The postprocedural course was uneventful.

Conclusion

A pseudoaneurysm should be considered in unclear cases of postpartum hemorrhage.

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Title: Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization
Authors: Chiaki Nagayama
Masaki Gibo
Hayase Nitta
Tadakazu Uezato
Makoto Hirakawa
Hitoshi Masamoto
Kaoru Sakumoto
Yoichi Aoki
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1271-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization

Abstract

Background

Case

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case

Conclusion

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