1/9. False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after caesarean section treated with selective arterial embolization.We report three cases of post-partum haemorrhage following caesarean delivery attributed to a false aneurysm of the uterine pedicle and treated with artery embolization. These lesion were probably post-traumatic in origin related to hysterotomy. Angiographic study of the anterior division of hypogastric arteries confirmed the diagnosis and embolization of the false aneurysm was successful in controlling the haemorrhage.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/9. A case of uterine artery pseudoaneurysms.Uterine artery pseudoaneurysms is a rare cause of haemorrhage but is potentially life-threatening and can occur after common gynaecological operations such as a Caesarean section or a hysterectomy. A 33-year-old woman who developed secondary postpartum haemorrhage after a Caesarean section was diagnosed to have uterine artery pseudoaneurysms on ultrasound scan. She was treated with bilateral uterine artery embolisation via selective catherisation of uterine arteries. Good outcome with the aneurysms remaining obliterated was obtained. Angiographic embolisation is a safe and effective method of treating postpartum haemorrhage in haemodynamically stable patients and should be an option before resorting to surgery in appropriately selected cases.- - - - - - - - - - ranking = 1011.3155204892keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
3/9. postpartum hemorrhage resulting from uterine artery pseudoaneurysm.This article presents a rarely reported cause of late postpartum hemorrhage in a 33-year-old woman. A uterine artery pseudoaneurysm with arteriovenous fistula was identified that required uterine artery embolization.- - - - - - - - - - ranking = 842.62404485211keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
4/9. Spontaneous rupture of ovarian artery aneurysm in the puerperium. Two case reports and a review of the literature.A case of spontaneous puerperal rupture of an aneurysm of a branch of the right ovarian artery is reported and the histological and histochemical changes in the vessel wall are described. Identical changes were also seen in a similar case, previously reported. Some of the factors involved in the pathogenesis of these unusual vascular lesions are discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = aneurysm (Clic here for more details about this article) |
5/9. Obstetric and gynecologic complications in women with marfan syndrome.OBJECTIVE: To analyze the maternal and fetal outcomes of pregnancy and gynecologic problems in women with marfan syndrome. STUDY DESIGN: The outcomes of 14 pregnancies in 4 women with marfan syndrome were prospectively observed between January 1988 and December 2000. The cardiovascular and obstetric complications were analyzed. During pregnancy all the patients were carefully monitored with serial echocardiography and close attention to symptoms. RESULTS: Of the 14 pregnancies, 5 (35.7%) ended in abortion, and 3 of them occurred in the early second trimester due to cervical incompetence. Premature onset of labor occurred in 2 pregnancies at 31 and 34 weeks. postpartum hemorrhage complicated 3 deliveries, and inversion of the uterus occurred in 1 patient. Significant cardiovascular complications occurred in 2 patients, who required surgical correction of the aortic aneurysm and replacement of the aortic valve. In one patient the operation was performed within hours of vaginal delivery, and the other patient underwent surgery 8 weeks postpartum. No maternal death occurred in the study. One infant in the series was diagnosed as having marfan syndrome. A premature infant delivered at 31 weeks died on the second day of life. CONCLUSION: women with marfan syndrome are at high risk of aortic dissection in pregnancy even in the absence of preconceptional aortic root dilatation. Obstetric complications in patients with this condition have been underreported in the past. women with aortic root dilatation of < 40 mm usually tolerate pregnancy well, with good maternal and fetal outcomes. women with marfan syndrome should be counseled regarding the risk of pregnancy to both mother and fetus. patients who have cardiac decompensation or aortic dilatation > 40 mm are advised to avoid pregnancy.- - - - - - - - - - ranking = 0.16666666666667keywords = aneurysm (Clic here for more details about this article) |
6/9. Pseudoaneurysm of the uterine artery requiring bilateral uterine artery embolization.OBJECTIVE: To report a case of uterine artery pseudoaneurysm which initially failed unilateral uterine artery embolization that subsequently responded to bilateral embolization. DESIGN: A case report. SETTING: University hospital. PATIENT(S): 32-year-old G(2) P(1) female. INTERVENTION(S): Left uterine artery embolization followed by right uterine artery embolization 1 day later. MAIN OUTCOME MEASURE(S): Vaginal bleeding, hemoglobin. RESULTS: Unilateral uterine artery embolization failed to control vaginal bleeding. Repeat embolization of the contralateral side was successful. CONCLUSIONS: uterine artery embolization is an effective method of treating delayed postpartum hemorrhage secondary to a pseudoaneurysm of the uterine artery.- - - - - - - - - - ranking = 337.71628460751keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
7/9. Successful embolization of an ovarian artery pseudoaneurysm complicating obstetric hysterectomy.Transcatheter arterial embolization is becoming the therapy of choice for controlling obstetric hemorrhage, affording the ability to control persistent bleeding from pelvic vessels while avoiding the morbidity of surgical exploration. The clinicians are left with little choice if pelvic hemorrhage continues after hysterectomy and ligation of anterior division of both internal iliac arteries. We present one such case of intractable post-obstetric hysterectomy hemorrhage in which an ovarian artery pseudoaneurysm was diagnosed angiographically and successfully embolized, highlighting the role of transcatheter embolization.- - - - - - - - - - ranking = 842.62404485211keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/9. Iatrogenic secondary post-partum haemorrhage: apropos of two uncommon cases.In this article we would like to highlight uterine pseudoaneurysm as a cause of secondary post-partum haemorrhage following Caesarean section. We would like to stress Doppler ultrasound scan as the initial screening modality for this condition. We also describe angioembolization as the prudent treatment option for this condition rather than resorting to surgery.- - - - - - - - - - ranking = 168.52480897042keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
9/9. Avoidable morbidity in a patient with pseudoaneurysm of the uterine artery after cesarean section.We report the case of a 25-year-old female who presented to the emergency department with vaginal bleeding after a cesarean section. A diagnosis of pseudoaneurysm of the uterine artery was established radiologically; however, failure to consider this potentially life-threatening complication of cesarean section resulted in unnecessary morbidity. Doppler sonography and CT have been shown to be excellent tools for accurate diagnosis of uterine artery pseudoaneurysms, and selective arterial embolization remains the intervention of choice.- - - - - - - - - - ranking = 1011.1488538225keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |