Uterine Artery Pseudoaneurysm Manifesting as Delayed Postpartum Hemorrhage after Precipitous Delivery: Three Case Reports

Precipitous delivery may lead to serious maternal and neonatal complications. Uterine artery pseudoaneurysm (UAP) is one of the causes of delayed postpartum hemorrhage. Here we describe 3 cases of UAP manifesting as delayed postpartum hemorrhage after precipitous delivery. The duration of the second...

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Veröffentlicht in:	Gynecologic and obstetric investigation 2014-01, Vol.78 (2), p.136-140
Hauptverfasser:	Kim, Jong Woon, Kim, Yoon Ha, Kim, Chul Hong, Cho, Moon Kyoung, Kang, Woo Dae, Kim, Seok Mo, Yim, Nam Yeol, Song, Tae-Bok
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aneurysm, False - complications Aneurysm, False - diagnostic imaging Delivery, Obstetric Female Fetal Membranes, Premature Rupture - physiopathology Gestational Age Humans Male Novel Insights from Clinical Practice Obstetric Labor, Premature - physiopathology Parturition - physiology Postpartum Hemorrhage - etiology Postpartum Hemorrhage - therapy Pregnancy Time Factors Ultrasonography Uterine Artery Uterine Artery Embolization
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Zusammenfassung:	Precipitous delivery may lead to serious maternal and neonatal complications. Uterine artery pseudoaneurysm (UAP) is one of the causes of delayed postpartum hemorrhage. Here we describe 3 cases of UAP manifesting as delayed postpartum hemorrhage after precipitous delivery. The duration of the second stage of labor in cases 1, 2, and 3 was 15, 15, and 60 min, respectively. Excessive vaginal bleeding occurred 10, 9, and 31 days after delivery, respectively. Ultrasonogram and pelvic angiography revealed the UAP in each case and uterine artery embolization was performed. UAP may be a complication of precipitous delivery.
ISSN:	0378-7346 1423-002X
DOI:	10.1159/000363742