Abstract
Background- Uterine artery pseudo aneurysm is a rare but it can be one of complication of cesarean section. If treated inadequately, it may cause profuse life-threatening postpartum hemorrhage. We report a rare case of bilateral uterine arteries pseudoaneurysm that lead to life threatening secondary postpartum hemorrhage. Case- 25 years old, PI, she underwent category 1 caesarean delivery, 55 days later she experienced recurrent massive attack of secondary postpartum hemorrhage. The diagnosis of bilateral uterine arteries aneurysm was made by CT angiograph. It was successfully treated by selective embolization of the bilateral uterine arteries.
Highlights
Uterine artery pseudo aneurysm is a rare but it can be one of complication of cesarean section
Secondary postpartum hemorrhage (PPH) is defined as excessive bleeding starting any time from 24 hours after delivery up to 12 weeks postpartum and most commonly occurring between 8 and 14 days postpartum
We report a case of left uterine artery aneurysm after an uncomplicated caesarean delivery in a patient with no surgical history
Summary
Rupture of aneurysm of the uterine artery can be a life-threatening condition. Clinical suspicious is the key point for prompt diagnosis. For fetal distress ,she was apparently asymptomatic for 35 days post operation , later she developed recurrent excessive vaginal bleeding ,and was admitted in hospital and diagnosed as case of endometritis and received intravenous antibiotics, she developed the same condition several times in which she was treated with same policy. In her last admission, D&C was done for the patient, but bleeding was not stop so laparotomy was done, compression of the uterus was done for 10 minute (bleeding was stopped) , she received 14 unit of blood ,and discharged in good condition.
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