June 14th, 2021

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Inferior Epigastric Arterial Hemorrhage Following Cesarean Section Successfully Treated with Selective Transcatheter Arterial Embolization: A Report of Three Cases
Authors:  Jung In Kim, M.D., Ji Soo Um, M.D., Il Jung Kim, M.D., and Jae Eun Shin, M.D.
BACKGROUND: Postpartum bleeding from the inferior epigastric artery after cesarean delivery occurs rarely, but it can be fatal if it is not diagnosed promptly.
CASES: We report 3 cases of incidental inferior epigastric arterial hemorrhage that led to active bleeding, requiring massive blood transfusion and a long period of hospitalization.

CONCLUSION: We found that selective transcatheter arterial embolization not only improved the recognition of the active bleeding source, which can be clinically overlooked, but also provided successful treatment for the bleeding.
Keywords:  cesarean section; embolization, therapeutic; epigastric arteries; obstetric hemorrhage; postoperative hemorrhage; postpartum hemorrhage; pregnancy outcome; transcatheter artery embolization
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