[Uterine artery pseudoaneurysm: an unusual cause of postpartum hemorrhage]

Abstract

Uterine artery pseudoaneurysm is a rare complication of cesarean section. It can lead to severe postpartum hemorrhage. We report three cases of pseudoaneurysm diagnosed late after cesarean delivery, one followed by hemorrhagic shock. Ultrasound may point to the diagnosis, but arteriography of uterine arteries is decisive for the diagnosis. Selective artery embolization is recommended for treatment. Main advantages are complete occlusion of the pseudoaneurysm and fertility preservation.

Keywords: Cesarean section; Césarienne; Embolisation; Embolization; Hémorragie post-partum; Postpartum hemorrhage; Pseudo-anévrysme utérin; Uterine artery pseudoaneurysm.