Pseudoaneurysm of the uterine artery requiring bilateral uterine artery embolization

Objective: To report a case of uterine artery pseudoaneurysm which initially failed unilateral uterine artery embolization that subsequently responded to bilateral embolization. Design: A case report. Setting: University hospital. Patient(s): 32-year-old G₂ P₁ female. Intervention(s): Left uterine artery embolization followed by right uterine artery embolization 1 day later. Main Outcome Measure(S): Vaginal bleeding, hemoglobin. Results: Unilateral uterine artery embolization failed to control vaginal bleeding. Repeat embolization of the contralateral side was successful. Conclusions: Uterine artery embolization is an effective method of treating delayed postpartum hemorrhage secondary to a pseudoaneurysm of the uterine artery.