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Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture

대한산부인과학회지 2017년 60권 3호 p.303 ~ 307
 ( Kyeong Kyu-Sang ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Obstetrics and Gynecology

 ( Moon Ji-Yeon ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Obstetrics and Gynecology
 ( Chae Song-Hwa ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Obstetrics and Gynecology
 ( Hong Seung-Hwa ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Obstetrics and Gynecology
 ( Kang Min-Ho ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Radiology
 ( Jeong Eun-Hwan ) - Chungbuk National University College of Medicine Chungbuk National University Hospital Department of Obstetrics and Gynecology

Abstract


A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. A uterine artery pseudoaneurysm that causes delayed postpartum hemorrhage can occur after cesarean section or vaginal delivery. A uterine artery pseudoaneurysm can be fatal, so its detection and diagnosis are critical. Herein, we report a case of delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture.

키워드

Postpartum period; Hemoperitoneum; Aneurysm; false; Embolization
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