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 ,Revised 4 January 2010 ,Accepted 25 January 2010.

References 

  1. Mousa H, Walkinshaw S. Major postpartum hemorrhage. Curr Opin Obstet Gynecol. 2001;13:595–603
  2. Anderson JM, Etches D. Prevention and management of postpartum hemorrhage. Am Fam Physician. 2007;75:875–882
  3. Eason DE, Tank RA. Avoidable morbidity in a patient with pseudoaneurysm of the uterine artery after cesarean section. J Clin Ultrasound. 2006;34:407–411
  4. Descargues G, Douvrin F, Gravier A, et al. False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after caesarean section treated with selective arterial embolization. Eur J Obstet Gynecol Reprod Biol. 2001;97:26–29
  5. Kim YA, Han YH, Jun KC, et al. Uterine artery pseudoaneurysm manifesting delayed postabortal bleeding. Fertil Steril. 2008;90:849.e11–849.e14
  6. Soyer P, Fargeaudou Y, Morel O, et al. Severe postpartum haemorrhage from ruptured pseudoaneurysm: successful treatment with transcatheter arterial embolization. Eur Radiol. 2008;18:1181–1187
  7. Butori N, Coulange L, Filipuzzi L, et al. Pseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization. Obstet Gynecol. 2009;113(2 pt 2):540–543
  8. Polat P, Suma S, Kantarcý M, et al. Color Doppler US in the evaluation of uterine vascular abnormalities. Radiographics. 2002;22:47–53
  9. Zimon AE, Hwang JK, Principe DL, et al. Pseudoaneurysm of the uterine artery. Obstet Gynecol. 1999;94:827–830
  10. Vedantham S, Goodwin SC, McLucas B, et al. Uterine artery embolization: an underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol. 1997;176:938–948
  11. Georgiou C. Balloon tamponade in the management of postpartum haemorrhage: a review. BJOG. 2009;116:748–757
  12. Schlicher NR. Balloon compression as treatment for refractory vaginal hemorrhage. Ann Emerg Med. 2008;52:148–150
  13. Pinborg A, Bodker B, Hogdall C. Postpartum hematoma and vaginal packing with a blocc pressure cuff. Acta Obstet Gynecol Scand. 2000;79:887–889
  14. Kovo M, Behar DJ, Friedman V, et al. Pelvic arterial pseudoaneurysm: a rare complication of cesarean section: diagnosis and novel treatment. Ultrasound Obstet Gynecol. 2007;30:783–785

 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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