Dabrowiecki Alexander, Newsome Janice, Bercu Zachary L, Martin Jonathan G
Interventional Radiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Interventional Radiology, Duke University School of Medicine, Durham, North Carolina, USA.
BMJ Case Rep. 2019 Aug 30;12(8):e230071. doi: 10.1136/bcr-2019-230071.
A gravida 4 para 1021, 41-year-old woman postcaesarean section at 39 weeks and 1 day with clinically significant haemorrhage required embolisation of unique uterine arterial collaterals. She had persistent haemorrhage after initial bilateral uterine artery embolisation, and on further investigation she was found to have a hypertrophied right round ligament artery. Once successful embolisation of this abnormal right round ligament artery was completed using a combination of Gelfoam and coils, haemostasis was achieved. She had rapid clinical improvement, no complications and no further admissions on postprocedural follow-up over a year and a half later.
一名孕4产1（1021）、41岁的女性，在孕39周加1天时行剖宫产，术中发生具有临床意义的大出血，需要栓塞独特的子宫动脉侧支。在最初双侧子宫动脉栓塞后仍有持续出血，进一步检查发现她右侧圆韧带动脉肥大。使用明胶海绵和弹簧圈联合成功栓塞这条异常的右侧圆韧带动脉后，实现了止血。她临床症状迅速改善，无并发症，在术后一年半的随访中未再入院。
