Korean J Perinatol.  2007 Dec;18(4):429-433.

A Case of Spontaneous Rupture of Left Lumbar Artery Aneurysm on the Fifth day of Vaginal Delivery

Affiliations
  • 1Department of Obstrectics and Gynecology, College of Medicine, Hallym University, Chunchon, Korea. esr@hallym.or.kr
  • 2Department of Radiology, College of Medicine, Hallym University, Chunchon, Korea.

Abstract

Retroperitoneal hemorrhage caused by intra-abdominal vascular injury during pregnancy or puerperium is rare, but a very fatal complication. Massive retroperitoneal hemorrhage causes the high mortality rate of mother and fetus. But the difficulty of diagnosis and rarity may delay prompt treatment. We experienced a case of massive retroperitoneal hemorrhage, which was caused by a suspected left lumbar artery aneurysm rupture on the fifth day of vaginal delivery. The patient was successfully treated by surgery and arterial embolization. We reported this case with a brief review of literature.

Keyword

Postpartum hemorrhage; Retroperitoneal hemorrhage; Aneurysmal rupture

MeSH Terms

Aneurysm*
Arteries*
Diagnosis
Fetus
Hemorrhage
Humans
Mortality
Mothers
Postpartum Hemorrhage
Postpartum Period
Pregnancy
Rupture
Rupture, Spontaneous*
Vascular System Injuries
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