Trans-arterial embolization for intractable primary postpartum hemorrhage caused by arterial aneurysms with arteriovenous fistulas in the lower vagina bilaterally: a case report.

Cheng-Hsien Wu, Patricia Wanping Wu, Yon-Cheong Wong, Ho-Yen Chueh

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Article in The Journal of international medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors at 1 institution in 1 country.

Cheng-Hsien WuDivision of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.ORCID 0000-0003-3250-6914

Patricia Wanping WuDivision of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Yon-Cheong WongDivision of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Ho-Yen ChuehDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Chang Gung University · TW

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Failure of conservative management for controlling postpartum hemorrhage (PPH) is not uncommon, particularly when PPH is caused by vascular lesions. Awareness of this possibility and initiating timely trans-arterial embolization (TAE) are essential for improving the outcome. Herein, we describe the case of a 34-year-old woman presenting with arterial aneurysms with arteriovenous fistulas in the lower vagina bilaterally, which caused intractable PPH. Conservative management failed to resolve the PPH; however, TAE successfully controlled the bleeding, and the patient recovered smoothly. Knowledge of this possible etiology for intractable PPH is crucial for timely TAE. This case report aims to highlight the pivotal role of TAE in detecting and treating this unusual cause of PPH.

Indexed as

AneurysmArteriovenous FistulaEmbolization, TherapeuticPostpartum HemorrhageAdultFemaleHumansPregnancyRetrospective StudiesTreatment OutcomeVaginaarterial aneurysmarteriovenous fistulaetiologyintractable bleedingmaternal morbidityoutcomePostpartum hemorrhagetrans-arterial embolization

Identifiers

PMID36694466

DOI10.1177/03000605221150137

PMCPMC9893089

OpenAlexW4317910225

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LicenceCC BY-NC

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.