PMC6712554_01
A 38 year primipara presented with refractory post partum haemorrhage despite obstetric hysterectomy. Angiogram revealed (a,b) ligated bilateral uterine arteries (yellow arrows). Note surgical drain placed in pelvis (blue arrows). (c) Anterior division of left internal iliac artery embolized with coils (green arrows).
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F1
Angiogram revealed she ligated bilateral uterine arteries in its ascending segment with no active leak [Figure 1a and b]. Considering left sided hematoma, anterior division of the left internal iliac artery was empirically embolized with coils [Figure 1c].
A 38 year primipara presented with refractory post partum haemorrhage. Aortic angiogram showed (a) Left ovarian artery (yellow arrow) arising from anterolateral aspect of aorta at L2 vertebral level. (b) Selective catheterization of left ovarian artery with progreat microcatheter demonstrating active contrast leak (blue arrow). (c) Left distal ovarian artery completely embolized by NBCA + Lipiodol (green arrow).
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F2
An abdominal aortic angiogram was taken from L1-L2 vertebral level, which showed active contrast leak from hypertrophied left ovarian artery [Figure 2a and b]. Progreat, Terumo Corporation, Tokyo, Japan) up to its mid-segment and embolized with 20% N-Butyl cyanacrylate (NBCA) + Lipiodol suspension (Guerbet, Villepinte, France). Post-embolization angiogram revealed complete occlusion of the left ovarian artery [Figure 2c].