Uterine Artery Pseudoaneurysm Rupture: A Life-Threatening Presentation of Vaginal Bleeding

被引：11

作者：

Bhatt, Ajay ^{[1
]}

Odujebe, Oladapo ^{[1
]}

Bhatt, Sanjay ^{[2
]}

Houry, Debra ^{[1
]}

机构：

[1] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA 30308 USA

[2] Keck Univ So Calif, Sch Med, Dept Emergency Med, Los Angeles, CA USA

来源：

ANNALS OF EMERGENCY MEDICINE | 2010年 / 55卷 / 05期

关键词：

POSTPARTUM HEMORRHAGE; CESAREAN-SECTION; MANAGEMENT;

D O I：

10.1016/j.annemergmed.2010.01.026

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Uterine artery pseudoaneurysm rupture is a rare, yet life-threatening, cause of postpartum hemorrhage. Prompt recognition and management are critical in severe vaginal bleeding. In this case, diagnosis by bedside ultrasonography and initial management with vaginal packing and fluid resuscitation were performed in the emergency department. Definitive treatment by selective arterial embolization was performed to achieve hemostasis. This article discusses options available in the diagnosis, management, and treatment of uterine artery pseudoaneurysm hemorrhage. [Ann Emerg Med. 2010;55:460-463.]

引用

页码：460 / 463

页数：4

共 14 条

[1]

Anderson JM, 2007, AM FAM PHYSICIAN, V75, P875

[2] Pseudoaneurysm of the Uterine Artery After Cesarean Delivery Management With Superselective Arterial Embolization [J].

Butori, Noemie ;

Coulange, Laurene ;

Filipuzzi, Laurence ;

Krause, Denis ;

Loffroy, Romaric .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (02) :540-543

[3] False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after caesarean section treated with selective arterial embolization [J].

Descargues, G ;

Douvrin, F ;

Gravier, A ;

Lemoine, JP ;

Marpeau, L ;

Clavier, E .

EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2001, 97 (01) :26-29

[4] Avoidable morbidity in a patient with pseudoaneurysm of the uterine artery after cesarean section [J].

Eason, Daniel Eric ;

Tank, Ramesh A. .

JOURNAL OF CLINICAL ULTRASOUND, 2006, 34 (08) :407-411

[5] Balloon tamponade in the management of postpartum haemorrhage: a review [J].

Georgiou, C. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (06) :748-757

[6] Uterine artery pseudoaneurysm manifesting delayed postabortal bleeding [J].

Kim, Young Ah ;

Han, Yoon Hee ;

Jun, Kyung Chul ;

Jeon, Myung Kwon ;

Lee, Eung Soo .

FERTILITY AND STERILITY, 2008, 90 (03) :849.e11-849.e14

[7] Pelvic arterial pseudoaneurysm - a rare complication of Cesarean section: diagnosis and novel treatment [J].

Kovo, M. ;

Behar, D. J. ;

Friedman, V. ;

Malinger, G. .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2007, 30 (05) :783-785

[8] Major postpartum haemorrhage [J].

Mousa, HA ;

Walkinshaw, S .

CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 2001, 13 (06) :595-603

[9] Postpartum hematoma and vaginal packing with a blood pressure cuff [J].

Pinborg, A ;

Bodker, B ;

Hogdall, C .

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2000, 79 (10) :887-889

[10] Color Doppler US in the evaluation of uterine vascular abnormalities [J].

Polat, P ;

Suma, S ;

Kantarcy, M ;

Alper, F ;

Levent, A .

RADIOGRAPHICS, 2002, 22 (01) :47-53

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