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Endovascular treatment of postpartum haemorrhage in a woman with genitourinary and vascular congenital malformations
  1. Scott Perkins1,
  2. Elena Drews2,
  3. Gabriel Li2 and
  4. Jonathan Martin1,2
  1. 1Interventional Radiology, Duke University Health System, Durham, North Carolina, USA
  2. 2Duke University School of Medicine, Durham, North Carolina, USA
  1. Correspondence to Dr Scott Perkins; scott.perkins{at}duke.edu

Abstract

A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent sciatic artery (PSA). Due to the possibility of embolic particles inadvertently traveling to the lower extremity via this variant arterial pathway, care was taken to only embolise the uterine artery. PSAs are uncommon but important vascular pathways to screen for during pelvic intervention and are associated with other genitourinary anomalies.

  • radiology
  • interventional radiology
  • obstetrics and gynaecology

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Footnotes

  • Twitter @ScottPerkinsMD, @elena_drews

  • Contributors SSP, ED and GL contributed to conceptualisation and design of the study, drafting the manuscript and approval of the final manuscript. JM participated in clinical and interventional management of the patient and approval of the final manuscript.

  • 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.

  • Patient consent for publication Obtained.

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

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