Uterine Artery Embolization to Control of Life Threatening Unusual Secondary Postpartum Haemorrhage

Background: Secondary post partum haemorrhage is a rare post natal complication yet with significant morbidity and mortality. Method(s): We present a 21 yr old female primigravida suffered from severe secondary post partum haemorrhage after cesarean section by five weeks presented to emergency department with significant haemoglobin drop, ultrasound revealed increased myometrial vascularity with intrauterine echogenic material, further contrast enhanced CT study revealed hypertrophied left uterine artery with suspected arteriovenous malformation Endovascular uterine artery angiography and embolization was done followed by elective hysterscopy and curretage. Result(s): Successful control of vaginal bleeding with stable haemoglobin level, no need for transfusion Histopathological examination of the curretage specimen revealed infracted afenomatous polyp. Conclusion(s): Uterine artery embolization is safe and feasible for primary control of secondary post paryim haemorrhage even in cases with retained placental products and endometrial polyps.

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Artikel online veröffentlicht:
11. Mai 2021