Puerperal vulvovaginal hematoma with an uncommon feeding vessel from the inferior mesenteric artery: a case report
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- Ishiguro Aya
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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- Horiuchi Isao
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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- Makino Yuko
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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- Chikazawa Kenro
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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- Kuwata Tomoyuki
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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- Takagi Kenjiro
- Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center
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説明
<p>Puerperal hematoma is a serious obstetric complication. We report a case of a large puerperal hematoma with an uncommon feeding vessel originating from an inferior mesenteric artery. A 28-year-old primiparous woman was transferred to our hospital with a large hematoma in the left vaginal wall following normal vaginal delivery. Contrast-enhanced CT revealed an actively bleeding vulvovaginal hematoma 9 cm in diameter, and transcatheter arterial embolization was performed. Arteriogram of the internal iliac arteries did not reveal a feeding vessel. Embolization of the peripheral branch of the superior rectal artery, which originated from the inferior mesenteric artery, achieved hemostasis. If the internal iliac arteries are not the source of active bleeding, more proximal angiography of the inferior mesenteric artery is recommended to assess uncommon feeding vessels.</p>
収録刊行物
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- Hypertension Research in Pregnancy
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Hypertension Research in Pregnancy 10 (3), 97-100, 2022-08-31
日本妊娠高血圧学会
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詳細情報 詳細情報について
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- CRID
- 1390574732433975040
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- ISSN
- 21879931
- 21875987
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可