caa a22 4500 445306475 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1271-1 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1271-1 Rupture of pseudoaneurysm after vaginal delivery successfully treated by selective arterial embolization [Elektronische Daten] [Chiaki Nagayama, Masaki Gibo, Hayase Nitta, Tadakazu Uezato, Makoto Hirakawa, Hitoshi Masamoto, Kaoru Sakumoto, Yoichi Aoki] Background: Rupture of a pseudoaneurysm after vaginal delivery is a rare cause of postpartum hemorrhage. Case: A 29-year-old primigravida delivered a healthy boy by vacuum extraction at 38weeks of gestation. The patient underwent repair of a right mediolateral episiotomy and left vaginal wall laceration. On the third postpartum day she experienced massive vaginal bleeding with vaginal wall laceration, and the vaginal bleeding progressively increased. A selective angiogram of the left internal iliac artery showed a pseudoaneurysm with extravasation originating from the left internal pudendal artery. Complete occlusion of the pseudoaneurysm was achieved by embolization of the left internal pudendal artery. The postprocedural course was uneventful. Conclusion: A pseudoaneurysm should be considered in unclear cases of postpartum hemorrhage. Springer-Verlag, 2009 Pseudoaneurysm nationallicence Vaginal delivery nationallicence Postpartum hemorrhage nationallicence Arterial embolization nationallicence Nagayama Chiaki Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Gibo Masaki Department of Radiology, Faculty of Medicine, University of the Ryukyus, Nishihara, Okinawa, Japan aut Nitta Hayase Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Uezato Tadakazu Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Hirakawa Makoto Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Masamoto Hitoshi Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Sakumoto Kaoru Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Aoki Yoichi Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 37-40 0932-0067 283:1<37 2011 283 404 https://doi.org/10.1007/s00404-009-1271-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1271-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nagayama Chiaki Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Gibo Masaki Department of Radiology, Faculty of Medicine, University of the Ryukyus, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Nitta Hayase Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Uezato Tadakazu Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Hirakawa Makoto Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Masamoto Hitoshi Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Sakumoto Kaoru Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 700 1- Aoki Yoichi Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, 903-0215, Nishihara, Okinawa, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 37-40 0932-0067 283:1<37 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer