[Uterine artery false aneurysm after caesarean delivery: an uncommon cause of post-partum haemorrhage].

Abstract

We describe a case of late post-partum haemorrhage from uterine artery pseudo-aneurysm secondary to the vascular trauma induced by a previous caesarean section. This rare aetiology should be known by anaesthesiologists since treatment by arterial embolization is safe and effective whereas curettage usually recommended for primary post-partum haemorrhage can aggravate the bleeding. This diagnosis should be considered in front of late genital bleeding without obvious cause and lead to perform a sonographic examination with Doppler-scan before diagnostic and therapeutic arteriography, eventually preceded by diagnostic MRI.

• Authors: P Bardou, M Orabona, A Vincelot, A Maubon, N Nathan
• Journal: Annales francaises d'anesthesie et de reanimation (Ann Fr Anesth Reanim) Vol. 29 Issue 12 Pg. 909-12 (Dec 2010) ISSN: 1769-6623 [Electronic] France
• Vernacular Title: Faux anévrisme d'une artère utérine après césarienne : une cause atypique d'hémorragie du post-partum.
• PMID: 21112734 (Publication Type: Case Reports, English Abstract, Journal Article)
• Copyright: 2010 Elsevier Masson SAS. All rights reserved.

Topics

• Adult
• Aneurysm, False (complications)
• Cesarean Section (adverse effects)
• Female
• Humans
• Postpartum Hemorrhage (etiology)
• Uterine Artery