The New Indian Journal of OBGYN 3(2)

Uterine artery pseudoaneurysm after caesarean section: a rare cause of massive secondary postpartum haemorrhage

Kavita Agarwal, Rekha Bharati, Achla Batra, Aruna Batra

ABSTRACT

Postpartum haemorrhage (PPH) is one of the major causes of maternal morbidity and mortality. A 24 years old woman came to hospital with complain of profuse vaginal bleeding after 45 days of caesarean section. Ultrasound doppler report showed an anechoic cystic space occupying lesion in region of caesarean scar. It filled up colour and showed swirling motion and arterial doppler waveforms. So, lesion was diagnosed as uterine artery pseudoaneurysm and arterial embolisation was done for treatment. After that, since 7 months the patient is asymptomatic.