2022, Number 05
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Ginecol Obstet Mex 2022; 90 (05)
Pseudoaneurysm of the left hypogastric artery, an extremely rare cause of late puerperal late puerperal bleeding
Sanz-Arenal A, Gabasa-Gorgas L, Redrado-Giménez O, Laborda-Gotor RA, Montañes-Bello PE, Domínguez-Fuentes JMF
Language: Spanish
References: 10
Page: 461-465
PDF size: 575.87 Kb.
ABSTRACT
Background: Late puerperal hemorrhage is a major morbidity and mortality that
requires urgent action. Its cause is very varied and requires careful assessment to stop
it without complications.
Clinical case: A 42-year-old woman came to the emergency department five weeks
after cesarean section for heavy puerperal bleeding. After curettage and thorough
examination in the operating room, ultrasound identified an anechogenic parauterine
area suggestive of aneurysmal dilatation in communication with the uterine cavity. The
diagnosis was established based on angiography and confirmed after embolization by
interventional radiology, without mishap, and resolution of the picture. The patient was
discharged in two days, with subsequent revisions reported as normal.
Conclusions: Vascular pathology should be part of the differential diagnosis of
late puerperal hemorrhage and, if properly diagnosed, may facilitate the therapeutic
procedure by interventional radiology and thus avoid other more invasive treatments.
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