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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2022; 32(04): 611-614
DOI: 10.1055/s-0042-1755246
Case Report

Imaging in Uterine Artery Pseudoaneurysm: A Rare, Potentially Fatal Cause of Secondary Post-partum Hemorrhage

Prajakta M. Mule
1   Department of Radiology, Fortis Hospitals, DMRD, Grant Medical College, J.J. Hospital, Mumbai, Maharashtra, India
,
Sanjota Satish Nair
2   Department of Radiodiagnosis, Seth G.S. Medical College and KEMH, Fortis Hospitals, Mumbai, Maharashtra, India
,
Rajat N. Bhargava
3   Department of Radiology, Fortis Hospitals, Mumbai, Maharashtra, India
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Abstract

Secondary postpartum hemorrhage is one of the important cause of postpartum morbidity and mortality. Uterine artery pseudoaneurysm is a rare, potentially fatal but treatable cause of secondary post-partum hemorrhage. If not diagnosed timely, it can lead to life-threatening hemorrhage. We report the case of a 41-year-old woman who presented with profuse vaginal bleeding on 32nd day of cesarean section. On imaging a left uterine artery pseudoaneurysm was found in the uterine wall with blood clots in the uterine cavity. Patient was managed with aggressive fluid resuscitation and immediate interventional radiology procedure of selective embolization of pseudoaneurysm. High index of suspicion is needed to search for rare vascular causes like pseudoaneurysm.

Keywords

uterine artery pseudoaneurysm - Yin-yang sign - secondary post-partum hemorrhage - cesarean section


Publication History

Article published online:
30 August 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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