Super-selective angiographic embolisation of a branch of the anterior pudendal artery for the treatment of intractable post-operative bleeding

Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):299-301. doi: 10.1007/s00192-005-1360-z. Epub 2005 Jul 29.

Abstract

We describe a case of post-operative bleeding after a posterior fascial defect repair. This was refractive to exploration and vaginal packing so laparotomy would have been necessary. Superselective cannulation demonstrated bleeding from a branch of the anterior pudendal artery which had crossed the midline making identification difficult during vaginal exploration. The bleeding vessel was embolised using a mixture of PVA300 and Spongistan gel foam and the bleeding ceased. The use of embolisation in the peri-operative phase is discussed.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Arteries
  • Embolization, Therapeutic / methods*
  • Fasciotomy
  • Female
  • Follow-Up Studies
  • Gelatin Sponge, Absorbable / therapeutic use
  • Hemostatics / therapeutic use
  • Humans
  • Middle Aged
  • Polyvinyl Alcohol / therapeutic use
  • Postoperative Hemorrhage / therapy*
  • Rectocele / surgery
  • Urinary Incontinence, Stress / surgery
  • Vagina / blood supply*
  • Vagina / surgery

Substances

  • Hemostatics
  • Polyvinyl Alcohol