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Case Report
Online Published: 19 Jun 2020
 


Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm

Zafirah Karim, Lau Jia Him, Roziana Ramli.


Abstract
Uterine artery pseudoaneurysm (UAP) is a rare cause of secondary postpartum haemorrhage (PPH). Ultrasound may suggest this condition and pelvic arteriography is done to confirm the diagnosis and to institute treatment via uterine artery embolization. Herein, we describe a case who experienced recurrent episodes of secondary PPH with inconclusive findings on ultrasound and pelvic arteriography. Foley catheter balloon was used several times to arrest acute bleeding episodes. Exploratory laparotomy revealed pseudoaneurysm of the branch of right uterine artery. Transection and ligation of the involved artery followed by ligation of bilateral internal iliac arteries were performed. Post operation, patient made a full recovery. This case highlights uterine artery pseudoaneurysm as a rare but important cause for secondary PPH. We recommend a simple measure to provide intrauterine tamponade by using Foley catheter balloon. Diagnosis of UAP may not be straightforward and this condition may only be discovered during surgery.

Key words: secondary PPH, pseudoaneurysm, pelvic angiography, intrauterine tamponade, Foley catheter balloon


 
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How to Cite this Article
Pubmed Style

Karim Z, Him LJ, Ramli R. Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. Int J Med Rev Case Rep. 2020; 4(10): 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE

Web Style

Karim Z, Him LJ, Ramli R. Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. https://www.mdpub.net/?mno=106759 [Access: October 13, 2024]. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE

AMA (American Medical Association) Style

Karim Z, Him LJ, Ramli R. Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. Int J Med Rev Case Rep. 2020; 4(10): 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


Vancouver/ICMJE Style

Karim Z, Him LJ, Ramli R. Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. Int J Med Rev Case Rep. (2020), [cited October 13, 2024]; 4(10): 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


Harvard Style

Karim, Z., Him, . L. J. & Ramli, . R. (2020) Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. Int J Med Rev Case Rep, 4 (10), 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


Turabian Style

Karim, Zafirah, Lau Jia Him, and Roziana Ramli. 2020. Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. International Journal of Medical Reviews and Case Reports, 4 (10), 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


Chicago Style

Karim, Zafirah, Lau Jia Him, and Roziana Ramli. "Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm." International Journal of Medical Reviews and Case Reports 4 (2020), 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


MLA (The Modern Language Association) Style

Karim, Zafirah, Lau Jia Him, and Roziana Ramli. "Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm." International Journal of Medical Reviews and Case Reports 4.10 (2020), 59-62. Print. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


APA (American Psychological Association) Style

Karim, Z., Him, . L. J. & Ramli, . R. (2020) Your guess is as good as mine; dealing with recurrent secondary post-partum haemorrhage caused by uterine artery pseudoaneurysm. International Journal of Medical Reviews and Case Reports, 4 (10), 59-62. doi:10.5455/IJMRCR.RECURRENT-SECONDARY-POST-PARTUM-HAEMORRHAGE


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