| Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization. | |
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MedLine Citation:
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PMID: 19882343 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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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Authors:
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Chiaki Nagayama; Masaki Gibo; Hayase Nitta; Tadakazu Uezato; Makoto Hirakawa; Hitoshi Masamoto; Kaoru Sakumoto; Yoichi Aoki |
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Publication Detail:
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Type: Journal Article Date: 2009-11-01 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 283 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 37-40 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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