• Ultrasound Obstet Gynecol · Oct 2007

    Case Reports

    Pelvic arterial pseudoaneurysm-a rare complication of Cesarean section: diagnosis and novel treatment.

    • M Kovo, D J Behar, V Friedman, and G Malinger.
    • Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. michalkovo@gmail.com
    • Ultrasound Obstet Gynecol. 2007 Oct 1; 30 (5): 783-5.

    AbstractAn uncommon cause of delayed postpartum hemorrhage is a pseudoaneurysm of the uterine artery. Pelvic arterial pseudoaneurysm is generally treated by laparotomy and hemostatic sutures or by uterine artery embolization. We describe two cases of late postpartum hemorrhage following Cesarean section, attributed to pelvic arterial pseudoaneurysm, that were successfully treated by direct thrombin injection under ultrasound guidance. Percutaneous or transvaginal ultrasound-guided direct thrombin injection is a simple procedure that does not require any sophisticated surgical or radiological equipment.Copyright (c) 2007 ISUOG

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