Diagnosis and Management of Bilateral Uterine
Arteries Aneurysm during Puerperium
Volume 2 - Issue 2
Dr. Amir Elnahas1, Mohammed Khidir Tayfoor2 and Salma Mohammed Hassan Eltayeb3*
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- 1Consultant Obstetrician and Gynecologist at Sidra medical and research center, MD in obstetrics&gynecology, FRCOG1
- 2Consultant interventional vascular radiologist and consultant interventional neurologist, MD, Radiology (U of K)-fellowship IR, Jordan
- 3Specialist of obstetrics and gynecology, Jordan
Dr. Salma Mohammed Hassan Eltayeb, Specialist of obstetrics and gynecology, Jordan
Received: May 23, 2018; Published: May 29, 2018
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Background: Uterine artery pseudo aneurysm is a rare but it can be one of complication of cesarean section. If treated
inadequately, it may cause profuse life-threatening postpartum hemorrhage. We report a rare case of bilateral uterine arteries
pseudoaneurysm that lead to life threatening secondary postpartum hemorrhage.
Case: 25 years old, PI, she underwent category 1 caesarean delivery, 55 days later she experienced recurrent massive attack
of secondary postpartum hemorrhage. The diagnosis of bilateral uterine arteries aneurysm was made by CT angiograph. It was
successfully treated by selective embolization of the bilateral uterine arteries.
Conclusion: Rupture of aneurysm of the uterine artery can be a life-threatening condition. Clinical suspicious is the key point
for prompt diagnosis. Diagnosis can achieve by angiography and embolization therapy can effectively stop the bleeding.
Keywords: Postpartum Hemorrhage; Pseudoaneurysm; Angiography; Embolization
Abbreviations: PPH: Postpartum Hemorrhage; UAP: Uterine Artery Pseudoaneurysms; D&C: Dilatation and Curettage;
Introduction & Literature Review|