Document Detail

Late postpartum hemorrhage due to von Willebrand disease managed with uterine artery embolization.
MedLine Citation:
PMID:  18239026     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Von Willebrand disease is the most common inherited bleeding disorder caused by quantitative or qualitative defects of von Willebrand factor, which may lead to postpartum bleeding problems. In such patients, resistant postpartum hemorrhage may be treated effectively by using transcatheter arterial embolization. CASE: Life-threatening late postpartum bleeding of a patient with von Willebrand disease type 3 unresponsive to traditional medical approaches was successfully managed with selective uterine artery embolization. CONCLUSION: Selective transcatheter uterine artery embolization may be used to control life-threatening pelvic hemorrhage unresponsive to traditional local measures. Such an intervention may also be used successfully in patients with bleeding disorders as the last chance of uterine preservation.
Mehmet Coskun Salman; Barbaros Cil; Sertac Esin; Ozgur Deren
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  111     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-03-27     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  573-5     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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MeSH Terms
Embolization, Therapeutic*
Postpartum Hemorrhage / etiology*,  therapy*
Time Factors
Uterus / blood supply
von Willebrand Diseases / complications*,  therapy

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