Late postpartum hemorrhage due to von Willebrand disease managed with uterine artery embolization.

Abstract

BACKGROUND:

Von Willebrand disease is the most common inherited bleeding disorder caused by quantitative or qualitative defects of von Willebrand factor, which may lead to postpartum bleeding problems. In such patients, resistant postpartum hemorrhage may be treated effectively by using transcatheter arterial embolization.

CASE:

Life-threatening late postpartum bleeding of a patient with von Willebrand disease type 3 unresponsive to traditional medical approaches was successfully managed with selective uterine artery embolization.

CONCLUSION:

Selective transcatheter uterine artery embolization may be used to control life-threatening pelvic hemorrhage unresponsive to traditional local measures. Such an intervention may also be used successfully in patients with bleeding disorders as the last chance of uterine preservation.

• Authors: Mehmet Coskun Salman, Barbaros Cil, Sertac Esin, Ozgur Deren
• Journal: Obstetrics and gynecology (Obstet Gynecol) Vol. 111 Issue 2 Pt 2 Pg. 573-5 (Feb 2008) ISSN: 0029-7844 [Print] United States
• PMID: 18239026 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Embolization, Therapeutic
• Female
• Humans
• Postpartum Hemorrhage (etiology, therapy)
• Time Factors
• Uterus (blood supply)
• von Willebrand Diseases (complications, therapy)