Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage

Secondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the...

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Main Authors: Prajakta M. Mule, Sanjota Satish Nair, Rajat N. Bhargava
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-12-01
Series:Indian Journal of Radiology and Imaging
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755246
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author Prajakta M. Mule
Sanjota Satish Nair
Rajat N. Bhargava
author_facet Prajakta M. Mule
Sanjota Satish Nair
Rajat N. Bhargava
author_sort Prajakta M. Mule
collection DOAJ
description Secondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the case of a 41-year-old woman who presented with profuse vaginal bleeding on 32nd day of cesarean section. On imaging a left uterine artery pseudoaneurysm was found in the uterine wall with blood clots in the uterine cavity. Patient was managed with aggressive fluid resuscitation and immediate interventional radiology procedure of selective embolization of pseudoaneurysm. High index of suspicion is needed to search for rare vascular causes like pseudoaneurysm.
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spelling doaj.art-a10f5bf290b44504ac5ed60c616689582022-12-22T04:36:31ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082022-12-01320461161410.1055/s-0042-1755246Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum HemorrhagePrajakta M. Mule0Sanjota Satish Nair1Rajat N. Bhargava2Department of Radiology, Fortis Hospitals, DMRD, Grant Medical College, J.J. Hospital, Mumbai, Maharashtra, IndiaDepartment of Radiodiagnosis, Seth G.S. Medical College and KEMH, Fortis Hospitals, Mumbai, Maharashtra, IndiaDepartment of Radiology, Fortis Hospitals, Mumbai, Maharashtra, IndiaSecondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the case of a 41-year-old woman who presented with profuse vaginal bleeding on 32nd day of cesarean section. On imaging a left uterine artery pseudoaneurysm was found in the uterine wall with blood clots in the uterine cavity. Patient was managed with aggressive fluid resuscitation and immediate interventional radiology procedure of selective embolization of pseudoaneurysm. High index of suspicion is needed to search for rare vascular causes like pseudoaneurysm.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755246uterine artery pseudoaneurysmyin-yang signsecondary post-partum hemorrhagecesarean section
spellingShingle Prajakta M. Mule
Sanjota Satish Nair
Rajat N. Bhargava
Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
Indian Journal of Radiology and Imaging
uterine artery pseudoaneurysm
yin-yang sign
secondary post-partum hemorrhage
cesarean section
title Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
title_full Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
title_fullStr Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
title_full_unstemmed Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
title_short Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage
title_sort imaging in uterine artery pseudoaneurysm a rare potentially fatal cause of secondary post partum hemorrhage
topic uterine artery pseudoaneurysm
yin-yang sign
secondary post-partum hemorrhage
cesarean section
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755246
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AT sanjotasatishnair imaginginuterinearterypseudoaneurysmararepotentiallyfatalcauseofsecondarypostpartumhemorrhage
AT rajatnbhargava imaginginuterinearterypseudoaneurysmararepotentiallyfatalcauseofsecondarypostpartumhemorrhage