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Archives of Gynecology and Obstetrics

, Volume 289, Issue 3, pp 469–470 | Cite as

Uterine artery pseudoaneurysm: a master of deception

  • Shigeki MatsubaraEmail author
  • Tomoyuki Kuwata
  • Rie Usui
  • Akihide Ohkuchi
Letter to the Editor

To the Editor,

I read the article, “Delayed postpartum hemorrhage: the implications of making a diagnostic mistake” by Surico et al. [1]. Postpartum hemorrhage (PPH) occurred after cesarean section (CS): a vascular abnormality was initially considered the culprit but uterine scar dehiscence proved to be its true culprit. The context of this article is that (1) PPH sometimes leads to a “diagnostic mistake”, and (2) hysteroscopy should be performed to confirm the diagnosis of PPH. We wish to comment on these two points.

First, we partly agree with Surico et al. first opinion: PPH sometimes leads to a “diagnostic mistake”. However, we would like the readers to recall uterine artery pseudoaneurysm (UAP), which has recently attracted wider attention as a causative disorder of PPH. Yes, PPH sometimes leads to a “diagnostic mistake”; however, not coexistence of, or misunderstanding as, vascular abnormality but UAP (acquired vascular abnormality) itself may lead to a “diagnostic mistake”.

In a...

Keywords

Cesarean Section Postpartum Hemorrhage Color Doppler Sign Anechoic Area Initial Embolization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

We declare no conflicts of interest.

References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Shigeki Matsubara
    • 1
    Email author
  • Tomoyuki Kuwata
    • 1
  • Rie Usui
    • 1
  • Akihide Ohkuchi
    • 1
  1. 1.Department of Obstetrics and GynecologyJichi Medical UniversityTochigiJapan

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