Abstract
A vaginal hematoma is a complication that can arise from a genital tract injury during delivery. Transcatheter arterial embolization (TAE) is a useful treatment option for vaginal lacerations that are too deep for surgical repair (1). In most genital tract injuries, bleeding results from injured internal iliac artery (IIA) branches. However, when bleeding results from arteries other than IIA branches, IIA embolization may fail to provide hemostasis (2). This letter describes the case of a vaginal hematoma caused by a superior rectal artery (SRA) injury during a vaginal delivery; carbon dioxide (CO2) angiography was used to detect bleeding from the SRA.
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