PMM.10 Is there a role for internal iliac artery ligation in post caesarean uterine artery pseudo-aneurysm: A case report

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Abstract

Objective

To describe the diagnosis and management of uterine artery pseudoaneurysm after caesarian section.

Design

Case report.

Setting

Department of Obstetrics and Gynaecology.

Patient

A 25-year-old woman developed uterine artery pseudoaneurysm after caesarean section.

Intervention

Uterine artery pseudoaneurysm after caesarian section was diagnosed on ultrasonography, computerised tomographic angiography and treated by bilateral internal iliac artery ligation.

Main Outcome Measure

Uterine conservation.

Result

Fertility preservation was achieved in the woman.

Conclusion(s)

Diagnosis and management of uterine artery pseudoaneurysm after caesarian section are important to prevent life-threatening haemorrhage caused by pseudoaneurysmal rupture.

Keywords

Uterine artery pseudoaneurysm, Caesarian section, Secondary postpartum, haemorrhage, Ultrasonography, Computerised tomographic angiography, Internal iliac artery ligation.

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