Citation Information :
Meena P, Konar L, Bose S, Das A, Medhavi KK, Yadav P. Pseudoaneurysm of Uterine Artery Leading to Secondary Postpartum Hemorrhage: A Case Report. J South Asian Feder Obs Gynae 2024; 16 (6):688-690.
Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality, with secondary PPH due to uterine artery pseudoaneurysm being a significant concern due to its rare and delayed presentation. Here we have discussed a case of secondary PPH presented at postoperative day 39 of an elective cesarean section. She was diagnosed with pseudoaneurysm of the uterine artery in a computed tomography (CT) angiography of the pelvis. After a multidisciplinary approach, the patient underwent uterine artery embolization under local anesthesia, where glue embolization using a 30% histoacryl and lipiodol mixture was done. The patient has recovered well and is still on regular follow up. This case highlights the need to recognize and manage uterine artery pseudoaneurysms in secondary PPH. Uterine artery embolization offers a highly effective, minimally invasive, and fertility-sparing alternative to more invasive surgical treatments. Early diagnosis and a multidisciplinary approach are essential for improving maternal outcomes.
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