Document Detail

Spontaneous bleeding from the uterine arteries during pregnancy--problems in diagnosis and therapy--bleeding from uterine arteries during pregnancy.
MedLine Citation:
PMID:  17447219     Owner:  NLM     Status:  MEDLINE    
Arterial bleeding, initially negative on MRI, ultrasonography and radiographic angiography, complicated the course of pregnancy with severe and recurrent vaginal and pelvic haemorrhage in the second trimester. Bleeding from the left uterine artery was successfully terminated by angiographic embolisation. No harmful effects on the fetal well-being were recorded after the embolisation. Massive haemorrhage, most probably from the right uterine artery, recurred some days later, and Caesarean section was performed. At postpartal ultrasonography and catheter angiography, massive arterial bleeding from a pseudoaneurysmatic vessel was clearly imaged on the right side of the cervical myometrium and could successfully be treated by radiographic embolisation. Though the primary aetiology of bleeding remains uncertain, it is possible that cervical endometriosis could have been associated with this complication.
P Kirkinen; L Keski-Nisula; T Kuoppala; S Tommola; J Uotila
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  28     ISSN:  0172-4614     ISO Abbreviation:  Ultraschall Med     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  212-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University Hospital of Tampere, Finland.
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MeSH Terms
Arteries / ultrasonography*
Hemorrhage / ultrasonography*
Magnetic Resonance Imaging
Pregnancy Complications, Cardiovascular / diagnosis,  ultrasonography*
Pregnancy Complications, Hematologic / diagnosis,  ultrasonography*
Ultrasonography, Doppler, Color
Uterus / blood supply*

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