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CASE REPORT
Postpartum haemorrhage requiring embolisation of a hypertrophied round ligament artery
  1. Alexander Dabrowiecki1,
  2. Janice Newsome1,
  3. Zachary L Bercu1 and
  4. Jonathan G Martin2
  1. 1 Interventional Radiology, Emory University School of Medicine, Atlanta, Georgia, USA
  2. 2 Interventional Radiology, Duke University School of Medicine, Durham, North Carolina, USA
  1. Correspondence to Dr Jonathan G Martin, jonathan.g.martin{at}duke.edu

Abstract

A gravida 4 para 1021, 41-year-old woman postcaesarean section at 39 weeks and 1 day with clinically significant haemorrhage required embolisation of unique uterine arterial collaterals. She had persistent haemorrhage after initial bilateral uterine artery embolisation, and on further investigation she was found to have a hypertrophied right round ligament artery. Once successful embolisation of this abnormal right round ligament artery was completed using a combination of Gelfoam and coils, haemostasis was achieved. She had rapid clinical improvement, no complications and no further admissions on postprocedural follow-up over a year and a half later.

  • Interventional Radiology
  • Radiology
  • Obstetrics And Gynaecology
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Footnotes

  • Twitter @JonMartinMD

  • Contributors AD, JGM: planning, conceptualisation, acquiring data, first draft and revisions. JN, ZLB: first draft and revisions. All authors approved of the final version of this report and agree to be accountable for all aspects of this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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