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 185
- Downloads 0
Pulmonary arterial pressure in at-term in vitro fertilization neonates: A cross-sectional study
Objective: Hormones consumption in women who conceive through in vitro fertilization (IVF) as well as embryonic manipulations have raised concerns regarding the neonates’ health, including the possibility of pulmonary hy...
The potential of serum fetal DNA for early diagnosis of gestational trophoblastic disease
Objective: To study cell-free DNA (cfDNA) levels in patients with gestational trophoblastic disease (GTD) in order to test the hypothesis that cfDNA circulating in maternal plasma could provide early detection of GTD. M...
Patients’ perceptions toward and the driving factors of decision-making for opportunistic bilateral salpingectomy at the time of cesarean section
Objective: Enough data can be found in the literature regarding the protective effect of tubal ligation on gynecological cancers. In addition, a large body of evidence revealed that prophylactic bilateral salpingectomy h...
Prenatal diagnosis of persistent left superior vena cava: a retrospective study of associated congenital anomalies
Objective: To evaluate persistent left superior vena cava (PLSVC) cases according to associated cardiac, extracardiac, and chromosomal anomalies in the prenatal period and to review their outcomes. Materials and Methods...
Prenatal diagnosis and postnatal course in four fetuses with very rare pulmonary artery anomalies
Pulmonary artery (PA) anomalies are very rare congenital cardiac malformations, a significant number of which remain unrecognized or misdiagnosed during the prenatal period. We report the prenatal diagnosis and outcome o...