Uterine Artery Embolization for Recurrent Secondary PPH — A Case Report

K Mounika; V Latha; R Monika; P Sachdeva

doi:10.51131/IJPCCR/v4i1.22.47

Article

VIEWS 1284
PDF 193

International Journal of Preclinical and Clinical Research

DOI: 10.51131/IJPCCR/v4i1.22.47

Year: 2023, Volume: 4, Issue: 1, Pages: 12-14

Case Report

Uterine Artery Embolization for Recurrent Secondary PPH — A Case Report

K Mounika ¹ , V Latha^{✉ 2} , R Monika ¹ , P Sachdeva ¹

¹ Postgraduate, Department of OBG, BMCH&RC, Chitradurga, Karnataka, India

² Professor & HOD, Department of OBG, BMCH &RC, Chitradurga, Karnataka, India

Corresponding author ✉: [email protected]

Received Date:27 November 2022, Accepted Date:09 March 2023, Published Date:27 March 2023

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Secondary PPH is bleeding per vagina from 24 hours to 6 weeks after delivery, which can lead to significant morbidity and mortality 1, 2. Incidence is 1.3%. Common causes are RPOC, sub-involution, abnormal placental invasion, coagulopathies 3. A case of 25 years old came with complaints of passage of clots with history of LSCS 20days back. USG revealed 10.1*4.9*6.2 cm, no RPOC. MRI is normal. She has recurrent PPH even after medical management. She was treated with uterine artery embolization. Her postoperative period was uneventful. On follow up, symptoms resolved.

Keywords: Postpartum Haemorrhage, Uterine artery embolization, Recurrent PPH

References

Loya MF, Garcia-Reyes K, Gichoya J, Newsome J. Uterine Artery Embolization for Secondary Postpartum Hemorrhage. Techniques in Vascular and Interventional Radiology. 2021;24(1):100728. Available from: https://doi.org/10.1016/j.tvir.2021.100728
Chen C, Lee SM, Kim JW, Shin JH. Recent Update of Embolization of Postpartum Hemorrhage. Korean Journal of Radiology. 2018;19(4):585–596. Available from: https://doi.org/10.3348/kjr.2018.19.4.585
Deux JF, Bazot M, Blanche AFL, Tassart M, Khalil A, Berkane N, et al. Is Selective Embolization of Uterine Arteries a Safe Alternative to Hysterectomy in Patients with Postpartum Hemorrhage? American Journal of Roentgenology. 2001;177(1):145–149. Available from: https://doi.org/10.2214/ajr.177.1.1770145
Pelage JPP, Dref OL, Jacob D, Soyer P, Herbreteau D, Rymer R. Selective Arterial Embolization of the Uterine Arteries in the Management of Intractable Post-Partum Hemorrhage. Obstetrical & Gynecological Survey. 2000;55(4):204–205. Available from: https://pubmed.ncbi.nlm.nih.gov/10468062/

Copyright

© 2023 Mounika et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Basaveshwara Medical College & Hospital, Chitradurga, Karnataka