International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2020, Vol. 4, Issue 3, Part A

A rare cause of secondary postpartum haemorrhage
Author(s): Dr. Ekta Chaware, Adaline Thangam, Dr Nita and Dr. Mary Padmini Jasper
Abstract: Secondary postpartum haemorrhage (PPH) after caesarean section due to uterine artery pseudoaneurysm is an unusual complication. We report a case of 26 years-old female (P2L2) who had lower segment caesarean section (LSCS) was presented after 36th day with excessive bleeding per vagina for 1 day. She was diagnosed to have pseudoaneurysm by CT angiography. Selective transcatheter arterial embolization of pseudoaneurysm was planned and digital substraction angiography was done. Left iliac arteriogram revealed a pseudoaneurysm from the terminal part of the left uterine artery. Post-operative period was uneventful and the bleeding stopped. In conclusion, pseudoaneurysm of uterine artery should be considered as a differential diagnosis, when the patient presents with secondary PPH after caesarean section. Embolisation is the treatment of choice and its prevents a hysterectomy.
Pages: 12-15 | 166 Views | 17 Downloads
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How to cite this article:
Dr. Ekta Chaware, Adaline Thangam, Dr Nita and Dr. Mary Padmini Jasper. A rare cause of secondary postpartum haemorrhage. International Journal of Clinical Obstetrics and Gynaecology. 2020; 4(3): 12-15. DOI: 10.33545/gynae.2020.v4.i3a.568
International Journal of Clinical Obstetrics and Gynaecology