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Delayed postpartum hemorrhage resulting from uterine artery pseudoaneurysm rupture

Title
Delayed postpartum hemorrhage resulting from uterine artery pseudoaneurysm rupture
Authors
Yun S.Y.Lee D.H.Cho K.H.Lee H.M.Choi Y.H.
Ewha Authors
최윤희
SCOPUS Author ID
최윤희scopus
Issue Date
2012
Journal Title
Journal of Emergency Medicine
ISSN
0736-4679JCR Link
Citation
vol. 42, no. 1, pp. e11 - e14
Indexed
SCIE; SCOPUS scopus
Abstract
Background: Rupture of a uterine artery pseudoaneurysm is an uncommon, but life-threatening, cause of postpartum hemorrhage. Cesarean delivery is the most common cause. Objectives: Prompt recognition and management are critical in severe vaginal bleeding. A diagnosis of pseudoaneurysm of the uterine artery can be established radiologically, such as with color Doppler ultrasonography and computed tomography. Angiography confirms the diagnosis. This condition can be treated with selective arterial embolization. Case Reports: We describe three cases of postpartum hemorrhage caused by rupture of pseudoaneurysms of the uterine artery after cesarean section. Conclusion: Uterine arterial pseudoaneurysm rupture is an infrequent, life-threatening cause of delayed postpartum hemorrhage requiring prompt diagnosis and treatment. Early crystalloid infusion and blood transfusion are essential. The initial management and stabilization of uterine artery pseudoaneurysm postpartum hemorrhage requires aggressive resuscitation. Arterial embolization should be considered the definitive treatment. Copyright © 2012 Elsevier Inc. Printed in the USA. All rights reserved.
DOI
10.1016/j.jemermed.2011.03.005
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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