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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 285846, 4 pages
http://dx.doi.org/10.1155/2013/285846
Case Report

Massive Secondary Postpartum Hemorrhage with Uterine Artery Pseudoaneurysm after Cesarean Section

Department of Obstetrics and Gynecology, Ege University, Faculty of Medicine, Bornova, 35100 İzmir, Turkey

Received 22 February 2013; Accepted 17 March 2013

Academic Editors: G. Capobianco, M. Geary, and L. Sentilhes

Copyright © 2013 Ahmet Ozgur Yeniel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.