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- Julian Pohlan, Larry Hinkson, Ulrike Wickmann, Wolfgang Henrich, and Christian E Althoff.
- Department of Radiology, Campus Charité Mitte, Berlin, Germany.
- J Clin Ultrasound. 2021 Mar 1; 49 (3): 265-268.
AbstractPseudoaneurysm of the uterine artery is a rare complication of cesarean section. Delayed diagnosis and management may result in rapid and catastrophic postpartum hemorrhage and may necessitate hysterectomy or can even be fatal. A 28-year-old woman (gravida I, para I) presented with delayed postpartum hemorrhage 10 days after emergency cesarean section. Using transabdominal and transvaginal Color Doppler sonography, we detected a pseudoaneurysm in the posterior uterine wall, which was successfully treated with selective embolization distal and proximal to the lesion with platinum coils. In patients with delayed postpartum hemorrhage-especially after cesarean section-the rare possibility of uterine artery pseudoaneurysm must be kept in mind.© 2020 The Authors. Journal of Clinical Ultrasound published by Wiley Periodicals LLC.
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