Annals of Emergency Medicine
Volume 55, Issue 5 , Pages 460-463, May 2010

Uterine Artery Pseudoaneurysm Rupture: A Life-Threatening Presentation of Vaginal Bleeding

  • Ajay Bhatt, MD

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA
    • Corresponding Author InformationAddress for correspondence: Ajay Bhatt, MD, Department of Emergency Medicine, Emory University School of Medicine, 75 Ponce de Leon Ave NE, #1004, Atlanta, GA 30308; 847-971-0510, Fax 847-240-1022
    • ,
  • Oladapo Odujebe, MD

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA
    • ,
  • Sanjay Bhatt, MD

      Affiliations

    • Department of Emergency Medicine, Keck/University of Southern California School of Medicine, Los Angeles, CA
    • ,
  • Debra Houry, MD, MPH

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA

Received 13 November 2009; received in revised form 4 January 2010; accepted 25 January 2010. published online 22 February 2010.

Uterine artery pseudoaneurysm rupture is a rare, yet life-threatening, cause of postpartum hemorrhage. Prompt recognition and management are critical in severe vaginal bleeding. In this case, diagnosis by bedside ultrasonography and initial management with vaginal packing and fluid resuscitation were performed in the emergency department. Definitive treatment by selective arterial embolization was performed to achieve hemostasis. This article discusses options available in the diagnosis, management, and treatment of uterine artery pseudoaneurysm hemorrhage.

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 Supervising editors: Kathy J. Rinnert, MD, MPH; Steven M. Green, MD

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication date: Available online February 20, 2010.

 Reprints not available from the authors.

PII: S0196-0644(10)00099-5

doi:10.1016/j.annemergmed.2010.01.026

Annals of Emergency Medicine
Volume 55, Issue 5 , Pages 460-463, May 2010

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