Pseudoaneurysm of the uterine artery, a rare cause of postpartum hemorrhage: Report of two cases and literature review

Abstract

Pseudoaneurysm of the uterine artery is among the rare causes of postpartum secondary hemorrhage. Its diagnosis is suspected in the presence of significant uterine bleeding without any other obvious cause, and its diagnostic confirmation relies on Doppler ultrasound and angiography. We report the cases of two patients who experienced postpartum secondary hemorrhage, in whom pelvic ultrasound suspected an aneurysm, confirmed and treated by angiography. The post-embolization outcomes were favorable, marked by complete cessation of bleeding. Clinical and ultrasound follow-up at one month did not reveal recurrence of bleeding and demonstrated the disappearance of the previously described pseudoaneurysm.