Ho S P, Ong C L, Tan B S
Division of O&G, KK Women's & Children's Hospital, Singapore.
Singapore Med J. 2002 Apr;43(4):202-4.
Uterine artery pseudoaneurysms is a rare cause of haemorrhage but is potentially life-threatening and can occur after common gynaecological operations such as a Caesarean section or a hysterectomy. A 33-year-old woman who developed secondary postpartum haemorrhage after a Caesarean section was diagnosed to have uterine artery pseudoaneurysms on ultrasound scan. She was treated with bilateral uterine artery embolisation via selective catherisation of uterine arteries. Good outcome with the aneurysms remaining obliterated was obtained. Angiographic embolisation is a safe and effective method of treating postpartum haemorrhage in haemodynamically stable patients and should be an option before resorting to surgery in appropriately selected cases.
子宫动脉假性动脉瘤是一种罕见的出血原因,但有潜在生命危险,可发生于剖宫产或子宫切除等常见妇科手术后。一名33岁女性在剖宫产后发生继发性产后出血,超声扫描诊断为子宫动脉假性动脉瘤。通过选择性子宫动脉插管对其进行了双侧子宫动脉栓塞治疗。动脉瘤持续闭塞,取得了良好的治疗效果。血管造影栓塞术是治疗血流动力学稳定患者产后出血的一种安全有效的方法,在适当选择的病例中,应作为手术前的一种选择。