[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-433824-105":59,"doc-detail-433824-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","a-rare-case-of-uterine-artery-pseudoaneurysm-causing-secondary-postpartum-hemorrhage-following-cesarean-section-a-diagnostic-and-management-challenge-in-a-resource-limited-setting","A Rare Case of Uterine Artery Pseudoaneurysm Causing Secondary Postpartum Hemorrhage Following Cesarean Section - A Diagnostic and Management Challenge in a Resource-Limited Setting","","Uterine artery pseudoaneurysm (UAP) is a rare but potentially fatal cause of delayed postpartum hemorrhage, often after cesarean delivery. A 35-year-old woman developed abnormal vaginal bleeding 2 days after cesarean section, with a significant hematocrit drop and ongoing blood loss. Diagnosis was supported by abdominal ultrasound and CT, confirming a thrombosed UAP at the surgical site. Hysterectomy was required when uterine artery embolization services were unavailable, enabling discharge in stable condition.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-rare-case-of-uterine-artery-pseudoaneurysm-causing-secondary-postpartum-hemorrhage-following-cesarean-section-a-diagnostic-and-management-challenge-in-a-resource-limited-setting/433824/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-rare-case-of-uterine-artery-pseudoaneurysm-causing-secondary-postpartum-hemorrhage-following-cesarean-section-a-diagnostic-and-management-challenge-in-a-resource-limited-setting/433824.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What complication followed the cesarean section in this case?","Question",{"text":112,"@type":113},"The patient developed a uterine artery pseudoaneurysm causing secondary postpartum hemorrhage with delayed abnormal vaginal bleeding.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the uterine artery pseudoaneurysm diagnosed?",{"text":117,"@type":113},"Transabdominal ultrasound with color Doppler and contrast-enhanced CT confirmed a thrombosed uterine artery pseudoaneurysm at the cesarean site.",{"name":119,"@type":110,"acceptedAnswer":120},"Why was total abdominal hysterectomy performed?",{"text":121,"@type":113},"Uterus-sparing measures (bilateral uterine artery ligation and compression sutures) failed to control the bleeding, and uterine artery embolization services were unavailable.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},433824,1790956147,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Clinical Case Reports  \nCASE REPORT  OPEN ACCESS   \nA Rare Case of Uterine Artery Pseudoaneurysm Causing Secondary Postpartum Hemorrhage Following Cesarean Section: A Diagnostic and Management Challenge ina Resource-Limited Setting  \nGebreegziabher Hailay1  | Rabirra Waktola2  | Abay Eyayu3  \n1Department of Radiology and MRT, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia | 2Department of Radiology, Ambo University,  \nAmbo, Ethiopia | 3Department of Gynecology and Obstetrics, Gondar University, Gondar, Ethiopia Correspondence: Rabirra Waktola ([rabirrawak@gmail.com](rabirrawak@gmail.com))  \nReceived: 2 July 2025 | Revised: 29 November 2025 | Accepted: 21 December 2025  \nKeywords: cesarean section | color doppler ultrasound | resource-limited setting | secondary postpartum hemorrhage | uterine artery pseudoaneurysm  \n\n| ABSTRACT\u003Cbr>Uterine artery pseudoaneurysm (UAP) is a rare, potentially fatal cause of delayed postpartum hemorrhage, often following cesarean sections. Here we present a 35-year-old woman for whom hysterectomy was done after she presented with delayed vaginal bleeding 2 days post-cesarean section due to uterine artery pseudoaneurysm which was confirmed by abdominal ultrasound and CT imaging. |  |\n| --- | --- |\n| 1 | Introduction | 2 | Case Presentation |\n| The pseudoaneurysm often consists of only one layer of loose | A 35-year-old woman, gravida 4, para 3, underwent a primary |\n| connective tissue, distinguishing it from a true aneurysm, which | lower transverse cesarean section for cephalopelvic dispropor- |\n| is a dilatation of a vessel with all three layers of the vessel wall | tion due to fetal macrosomia, delivering a healthy male neonate |\n| [1] . The pseudoaneurysms are commonly encountered in car- | weighing 4.5 kg. On the second postoperative day, she developed |\n| diac, femoral artery, visceral artery, and aortic wall [2] . Uterine | abnormal vaginal bleeding and a significant drop in hematocrit |\n| artery pseudoaneurysm (UAP) is a rare but potentially life- | (hemoglobin of 7 g/dL), suggesting ongoing hemorrhage. The |\n| threatening complication that can occur following uterine trau- | patient required a blood transfusion to maintain hemodynamic |\n| mas like cesarean section, myomectomy, subtotal hysterectomy, dilatation and curettage, and vaginal delivery [3–6] . It is characterized by the formation of an extraluminal collection of blood | stability. |\n| with a turbulent flow that communicates with flowing arterial blood through a defect in the arterial wall [7] . Extraluminal tur- | 3 | Investigation and Treatment |\n| bulent blood flow can lead to enlargement of the UAP, making it | Imaging with transabdominal ultrasound (Figure 1) showed a |\n| susceptible to rupture and subsequent bleeding [8] . On the con- | peripherally slightly hyperechoic lower uterus myometrial lesion |\n| trary, uterine AVM is very rare, characterized by bypassing of | (arrows on Figure 1 images A and B) that has centrally yin yang |\n| the capillary network between the uterine arterial and venous | flow on color doppler study (arrowhead on Figure 1 image B). |\n| supply. Uterine AVM may be congenital or acquired, detected following surgical intervention on the uterus, such as cesarean | The periphery has no color doppler flow indicating thrombus (red arrow in Figure 1 image B). Pre and post contrast abdominopelvic |\n| section, uterine dilation, and curettage [8] . | CT (Figure 2 images A and B, red arrows) showed a peripherally |\n| This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.\u003Cbr>© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd. |  |\n\nClinical Case Reports, 2026; 14:e71790 1 of 4  \n[https://doi.org/10.1002/ccr3.71790](https://doi.org/10.1002/cc","cbCaiktcHXqQS004","https://ap.wps.com/l/cbCaiktcHXqQS004","pdf",650236,"English","# Case Report\n## Introduction\n## Case Presentation\n## Investigation and Treatment\n## Outcome and FollowUp\n## Discussion","[{\"question\":\"What complication followed the cesarean section in this case?\",\"answer\":\"The patient developed a uterine artery pseudoaneurysm causing secondary postpartum hemorrhage with delayed abnormal vaginal bleeding.\"},{\"question\":\"How was the uterine artery pseudoaneurysm diagnosed?\",\"answer\":\"Transabdominal ultrasound with color Doppler and contrast-enhanced CT confirmed a thrombosed uterine artery pseudoaneurysm at the cesarean site.\"},{\"question\":\"Why was total abdominal hysterectomy performed?\",\"answer\":\"Uterus-sparing measures (bilateral uterine artery ligation and compression sutures) failed to control the bleeding, and uterine artery embolization services were unavailable.\"}]","A Rare Case of Uterine Artery Pseudoaneurysm Causing Secondary Postpartum Hemorrhage Following Cesarean Section - A Diagnostic and Management Challenge in a Resource-Limited Setting | PDF",1790665631]