Secondary postpartum hemorrhage due to a pseudoaneurysm rupture at the fundal area of the uterus: a case treated with selective uterine arterial embolization

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Presentation transcript:

Secondary postpartum hemorrhage due to a pseudoaneurysm rupture at the fundal area of the uterus: a case treated with selective uterine arterial embolization Sang Wook Yi, M.D., Jae Hong Ahn, M.D. Fertility and Sterility Volume 93, Issue 6, Pages 2048-2049 (April 2010) DOI: 10.1016/j.fertnstert.2009.03.099 Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 1 The oblique coronal reformatted multidetector computed tomography with angiography demonstrated an active bleeding focus with contrast medium extravasation in the fundal area of the uterus (arrow), and an enlarged uterus with a large amount of hematoma in the endometrial cavity. Fertility and Sterility 2010 93, 2048-2049DOI: (10.1016/j.fertnstert.2009.03.099) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 2 The volume rendering multidetector computed tomography image showed a pseudoaneurysm with active bleeding from the right uterine artery in the fundal area of the uterus (arrow). Fertility and Sterility 2010 93, 2048-2049DOI: (10.1016/j.fertnstert.2009.03.099) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 3 The angiogram confirmed complete occlusion of the bilateral uterine arteries after selective arterial embolization with absorbable gelatin sponge (Gelfoam), and it demonstrated no contrast medium extravasation. Fertility and Sterility 2010 93, 2048-2049DOI: (10.1016/j.fertnstert.2009.03.099) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions