Document Detail


Delayed postpartum hemorrhage resulting from uterine artery pseudoaneurysm rupture.
MedLine Citation:
PMID:  21497477     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Rupture of a uterine artery pseudoaneurysm is an uncommon, but life-threatening, cause of postpartum hemorrhage. Cesarean delivery is the most common cause.
OBJECTIVES: Prompt recognition and management are critical in severe vaginal bleeding. A diagnosis of pseudoaneurysm of the uterine artery can be established radiologically, such as with color Doppler ultrasonography and computed tomography. Angiography confirms the diagnosis. This condition can be treated with selective arterial embolization.
CASE REPORTS: We describe three cases of postpartum hemorrhage caused by rupture of pseudoaneurysms of the uterine artery after cesarean section.
CONCLUSION: Uterine arterial pseudoaneurysm rupture is an infrequent, life-threatening cause of delayed postpartum hemorrhage requiring prompt diagnosis and treatment. Early crystalloid infusion and blood transfusion are essential. The initial management and stabilization of uterine artery pseudoaneurysm postpartum hemorrhage requires aggressive resuscitation. Arterial embolization should be considered the definitive treatment.
Authors:
Soon Young Yun; Duk Hee Lee; Kwang Hyun Cho; Hyung Min Lee; Yoon Hee Choi
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Publication Detail:
Type:  Journal Article     Date:  2011-04-16
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  42     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-23     Completed Date:  2012-03-22     Revised Date:  2014-04-10    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e11-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / complications*
Aneurysm, Ruptured / complications*
Cesarean Section / adverse effects
Female
Humans
Postpartum Hemorrhage / etiology*
Treatment Outcome
Uterine Hemorrhage / complications*
Comments/Corrections
Comment In:
J Emerg Med. 2014 Mar;46(3):e97-8   [PMID:  24188599 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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