CardioVascular and Interventional Radiology

, Volume 28, Issue 1, pp 113–116 | Cite as

Successful Embolization of an Ovarian Artery Pseudoaneurysm Complicating Obstetric Hysterectomy

  • Krantikumar R RathodEmail author
  • Hemant L Deshmukh
  • Ashwin Asrani
  • Vinita S Salvi
  • Santoshi Prabhu


Transcatheter arterial embolization is becoming the therapy of choice for controlling obstetric hemorrhage, affording the ability to control persistent bleeding from pelvic vessels while avoiding the morbidity of surgical exploration. The clinicians are left with little choice if pelvic hemorrhage continues after hysterectomy and ligation of anterior division of both internal iliac arteries. We present one such case of intractable post-obstetric hysterectomy hemorrhage in which an ovarian artery pseudoaneurysm was diagnosed angiographically and sucesssfully embolized, highlighting the role of transcatheter embolization.


Uterine Artery Internal Iliac Artery Uterine Artery Embolization Transcatheter Embolization Ovarian Artery 
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  1. 1.
    Dutta DC, (1995) Complications of the third stage of labour. In: Textbook of Obstetrics. New Central Book Agency, Calcutta, pp 424–431Google Scholar
  2. 2.
    Burnett, RA, Carfrae, DC 1976Spontaneous rupture of ovarian artery aneurysm in the puerperium. Two case reports and a review of the literatureBr J Obstet Gynaecol83(9744750Google Scholar
  3. 3.
    Gilbert, WM, Moore, TR, Resnik, R 1992Angiographic embolization in the management of hemorrhagic complications of pregnancyAm J Obstet Gynecol166(2493497Google Scholar
  4. 4.
    Pelage, JP, Le Dref, O, Mateo, J 1998Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolizationRadiology208(2359362Google Scholar
  5. 5.
    Williams, LP, Warwick, R, Dyson, M,  et al. 1989Gray’s Text Book of AnatomyChurchill LivingstoneEdinburgh777781Google Scholar
  6. 6.
    Brown, BJ, Heaston, DK, Poulson, AU,  et al. 1979Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolisationObstet Gynecol54(3361365Google Scholar
  7. 7.
    Pelage, JP, Walker, WJ, Le Dref, O 2002Utility of nonselective abdominal aortography in demonstrating ovarian artery collaterals in patients undergoing uterine artery embolization for fibroidsJ Vasc Interv Radiol13(6656Google Scholar
  8. 8.
    Barth, MM, Spies, JB 2003Ovarian artery embolisation supplementing uterine embolisation for leiomyomataJ Vasc Interv Radiol1411771182PubMedGoogle Scholar
  9. 9.
    Oei, PL, Chua, S, Tan, L,  et al. 1998Arterial embolization for bleeding following hysterectomy for intractable postpartum hemorrhageInt J Gynaecol Obstet62(18386CrossRefGoogle Scholar
  10. 10.
    Mariano, RT, Stein, B, Vine, HS,  et al. 2000Angiographic diagnosis and transarterial embolization of iatrogenic ovarian artery injuryJ Vasc Interv Radiol11(5625628Google Scholar
  11. 11.
    Dawn, CS 1995Gynaecological operationsTextbook of Gynecology and ContraceptionDawn BooksCalcutta511512Google Scholar
  12. 12.
    Marx, MV, Picus, D, Weyman, PJ 1988Percutaneous embolization of the ovarian artery in the treatment of pelvic hemorrhageAm J Roentgenol.150(613371338Google Scholar
  13. 13.
    Ryu, RK, Siddiqi, A, Omary, RA 2003Sonography of delayed effects of uterine artery embolization on ovarian arterial perfusion and functionAm J Roentgenol1818992Google Scholar
  14. 14.
    Williams, PL, Warwick, R, Berry, MM,  et al. 2000Cardiovascular systemGray’s Textbook of AnatomyChurchill LivingstoneLondon1558Google Scholar
  15. 15.
    Ball, RH, Picus, D, Goyal, RK 1995Ovarian artery pseudoaneurysm: diagnosis by Doppler sonography and treatment with transcatheter embolizationJ Ultra Med14250252Google Scholar

Copyright information

© Springer-Verlag New York, LLC. 2004

Authors and Affiliations

  • Krantikumar R Rathod
    • 1
    Email author
  • Hemant L Deshmukh
    • 1
  • Ashwin Asrani
    • 1
  • Vinita S Salvi
    • 2
  • Santoshi Prabhu
    • 2
  1. 1.Department of RadiologySeth G.S. Medical College and K.E.M. HospitalMumbai, MaharashtraIndia
  2. 2.Department of Obstetrics and GynaecologySeth G.S. Medical College and K.E.M. HospitalMumbai, MaharashtraIndia

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