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Postpartum hemoperitoneum - A rare case of uterine artery pseudoaneurysm rupture after uncomplicated vaginal delivery.
Niu, Szu-Yun; Liu, Ming-Cheng; Chen, Ya-Fang; Chen, Ming-Jer; Chang, Jui-Chun.
Afiliación
  • Niu SY; Department of Obstetrics & Gynecology and Women's Health, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Liu MC; Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Chen YF; Department of Obstetrics & Gynecology and Women's Health, Taichung Veterans General Hospital, Taichung, Taiwan.
  • Chen MJ; Department of Obstetrics & Gynecology and Women's Health, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan.
  • Chang JC; Department of Obstetrics & Gynecology and Women's Health, Taichung Veterans General Hospital, Taichung, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei. Electronic address: r.juichun@gmail.com.
Taiwan J Obstet Gynecol ; 63(5): 768-770, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39266163
ABSTRACT

OBJECTIVE:

Our aim is to demonstrate a rare cause of hemoperitoneum without vaginal bleeding resulting from the rupture of a uterine artery pseudoaneurysm after uncomplicated vaginal delivery. CASE REPORT A 39-year-old woman who had experienced a normal vaginal delivery 8 days previously to being seen in our hospital, was presented to the emergency room with hypovolemic shock. Computed tomography angiography (CTA) showed massive internal bleeding and a ruptured pseudoaneurysm arising from the left uterine artery. The patient was successfully treated through transcatheter arterial embolization (TAE).

CONCLUSION:

A pseudoaneurysm is a rare disease which can occur during an uncomplicated vaginal delivery. The clinical presentation can vary from asymptomatic, vaginal bleeding or hemoperitoneum. The diagnosis can be made by using Doppler sonography, CTA or Magnetic Resonance Imaging. The use of TAE is now the most common treatment option and possesses a high success rate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Falso / Arteria Uterina / Hemoperitoneo Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Taiwan J Obstet Gynecol Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación:
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Falso / Arteria Uterina / Hemoperitoneo Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Taiwan J Obstet Gynecol Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: