Secondary postpartum haemorrhage with uterine artery pseudoaneurysm after caesarean section, managed with uterine artery embolisation

Abstract

Uterine artery pseudoaneurysm (PA) is a rare but serious complication of caesarean section (C/S). If inadequately treated, it can lead to life-threatening postpartum haemorrhage. We report the case of a 28-year-old woman who developed secondary postpartum haemorrhage resulting from uterine artery PA after C/S. Angiographic embolisation is a safe and effective procedure for treating postpartum haemorrhage resulting from PA in haemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for haemodynamically unstable patients when preservation of fertility is desired.