Postpartum Hemorrhage due to a Uterine Artery Pseudoaneurysm

Abstract

Postpartum hemorrhage is fatal because it can lead to maternal death by causing disseminated intravascular coagulopathy
from massive bleeding. It can be caused by a variety of risk factors, but very rarely by a pseudoaneurysm. Herein, we describe
a rare case of postpartum hemorrhage caused by a pseudoaneurysm of the uterine artery that was treated with arterial embolization. A 31-year-old woman underwent a cesarean delivery at 38 gestational weeks and experienced postpartum bleeding
caused by a pseudoaneurysm. Massive bleeding caused disseminated intravascular coagulopathy, but it successfully stopped
with immediate execution of arterial embolization. The patient was well treated with transfusion as well as antithrombin and
fibrinogen injections. She was discharged 7 days after hospitalization. This unique case demonstrates that uterine artery pseudoaneurysms can cause