Pseudoaneurysm of the uterine artery after an uncomplicated spontaneous vaginal delivery

A pseudoaneurysm is a pulsatile hematoma that communicates with the lumen of a damaged parent artery via a small neck. Pseudoaneurysms of the uterine artery are rare causes of delayed postpartum hemorrhage. In this setting, accurate diagnosis using pelvic sonography with. Doppler imaging is critical to allow for proper treatment with either surgical arterial ligation or transcatheter embolization because curettage may cause life-threatening uterine bleeding.(1) Reports in the literature regarding uterine artery pseudoaneurysms as etiologic factors in postpartum hemorrhage mainly involve patients with a history of uterine trauma and include cases after both vaginal(2-4) and cesarean(4-8) deliveries. We report a case of a uterine artery pseudoaneurysm after an uncomplicated spontaneous vaginal delivery in a patient with no surgical history.