Bilateral iliac artery aneurysm: A rare cause of postpartum recurrent hemorrhage
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2020, Vol 17, Issue 1
Abstract
Postpartum hemorrhage (PPH) is a critical health problem that may result in maternal death. In cases of impaired maternal hemodynamics, several surgical therapies such as hypogastric artery ligation or postpartum hysterectomy may be employed to control the bleeding. A 30-year-old multiparous patient who had given birth via spontaneous vaginal delivery had undergone hysterectomy and then hypogastric artery ligation due to postpartum hemorrhage. The patient was referred to our clinic due to uncontrolled bleeding and she experienced recurrent episodes of massive hemorrhage during her follow-up in our clinic. Pelvic angiography performed by interventional radiologists to detect the bleeding focus revealed arteriovenous fistula and aneurysm in the right internal iliac artery and incomplete ligation of the left internal iliac artery. The bleeding was controlled by selective embolization through coiling of the fistula in the right internal iliac artery and branches of the left uterine artery. PPH is still an important cause of maternal mortality and vascular structural anomalies must be borne in mind in cases with delayed onset.
Authors and Affiliations
Emsal Pınar Topdağı Yılmaz, Yunus Emre Topdağı, Suat Eren, Yakup Kumtepe
Keywords
Related Articles
- EP ID EP684652
- DOI 10.4274/tjod.galenos.2020.01336
- Views 180
- Downloads 0
Hemorrhagic corpus luteum: Clinical management update
Hemorrhagic corpus luteum (HCL) is an ovarian cyst formed after ovulation and caused by spontaneous bleeding into a corpus luteum (CL) cyst. When HCL rupture happens, a hemoperitoneum results. Clinical symptoms are mainl...
The seroprevalence of Rubella in pregnant women in Turkey: a meta-analysis research of 90988 Rubella IgM, 84398 Rubella IgG, and 522 avidity results
Objective: Rubella infection prevalence in pregnant women can vary from country to country, or even across regions in the same country. In this meta-analysis, the seroprevalence Rubella among pregnant women in Turkey in...
Evaluation of prenatally diagnosed fetal sacrococcygeal teratomas: A case series of seventeen pregnancies from South-central Turkey
Objective: To evaluate sacrococcygeal teratoma (SCT) cases according to associated cardiac, extracardiac, and chromosomal anomalies in the prenatal period, and to review their outcomes. Materials and Methods: Data of pr...
The prevalence of uterine anomalies in infertile patients with polycystic ovary syndrome: A retrospective study in a tertiary center in Southeastern Turkey
Objective: To evaluate the prevalence of uterine anomalies in infertile patients with polycystic ovary syndrome (PCOS) admitted to our tertiary hospital in Southeastern Turkey. Materials and Methods: The files of 3033 p...
Relation between uterine morphology and severity of primary dysmenorrhea
Objective: This study aimed to evaluate whether uterine dimensions including uterine volume, uterine shape, uterine length, cervix length, and cervix thickness measurements have a role in the severity of primary dysmenor...