Three-dimensional power Doppler assessment of pelvic structures after unilateral uterine artery embolization for postpartum hemorrhage

Abstract: Delayed postpartum hemorrhage, defined as bleeding following delivery up to 6 weeks postpartum, is a risk following cesarean or vaginal delivery. Episodes most commonly occur between 8 and 14 days postpartum. Here, we present a case of a 24-year-old woman presenting with delayed postpartum hemorrhage 14 days after delivery, which later proved to be caused by left uterine artery hemorrhage. The hemorrhage was refractory to local treatment and required invasive measures to prevent hypotensive shock. In lieu of a hysterectomy, a unilateral uterine artery embolization (UAE) was performed to preserve fertility in this 24-year-old patient. Three-dimensional power Doppler ultrasonography was performed 3 weeks after UAE to assess the volume and vascularity of the pelvic structures. This case illustrates a viable intervention for women with postpartum hemorrhage who desire to preserve future fertility, as well as a method to detect structural and vascular changes after the treatment to evaluate their future fertility prospects.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Three-dimensional power Doppler assessment of pelvic structures after unilateral uterine artery embolization for postpartum hemorrhage ; volume:1 ; number:1-2 ; year:2012 ; pages:51-54 ; extent:4
Case reports in perinatal medicine ; 1, Heft 1-2 (2012), 51-54 (gesamt 4)

Urheber
Tullius, Thomas G.
Ross, Jason Robert
Eziefule, Akwugo
Ghaleb, Melhem
Plavsic, Sanja Kupesic

DOI
10.1515/crpm-2012-0040
URN
urn:nbn:de:101:1-2411121516389.904803070851
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:33 MESZ

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Beteiligte

  • Tullius, Thomas G.
  • Ross, Jason Robert
  • Eziefule, Akwugo
  • Ghaleb, Melhem
  • Plavsic, Sanja Kupesic

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