An interesting case of pseudoaneurysm of internal iliac artery: rare case report with review of literature

Rajshree D. Katke, Ashish N. Zarariya, Avinash A. Gutte


Pseudoaneurysm is known to be a rare cause of secondary postpartum haemorrhage. A pseudoaneurysm is a haematoma that communicates with the lumen of a damaged parent artery via a small neck leading to turbulent flow. Herein we report a case of 32 year old multiparous patient who developed heavy vaginal bleeding 3 months post uterine curettage and was suspected to have AV malformation. Further evaluation on MRI & angiography showed small sized vaginal wall AV malformation with large pseudoaneurysm arising from within it. Its location near retropubic space in vagina, a very difficult site to approach makes this case interesting. She was treated with total abdominal hysterectomy with bilateral internal artery looping with excision of the pseudoaneurysm with successful outcome.


Iliac artery pseudoaneurysm, AV malformation

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