{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:24:15Z","timestamp":1787765055321,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pseudoaneurysm formation often occurs when there is inadequate sealing at an arterial puncture site. We present the case of a 27-year-old primigravida with rheumatic heart disease and a history of mitral valve replacement on anticoagulants who experienced recurrent episodes of postpartum hemorrhage (PPH). Despite conservative management and adjustments to anticoagulant therapy, the bleeding persisted. Further investigations revealed a small pseudoaneurysm originating from the left uterine artery. Bilateral uterine artery embolization (UAE) using polyvinyl alcohol particles was successfully performed. The patient\u2019s condition improved, and she was discharged on a carefully regulated medication regimen. This case highlights the importance of considering rare causes of PPH in high-risk patients, such as uterine artery pseudoaneurysm. Anticoagulants could be a potential contributor of its spontaneous rupture. Prompt diagnosis and appropriate intervention, such as UAE, can effectively manage PPH and prevent adverse outcomes.<\/jats:p>","DOI":"10.4103\/gmit.gmit_78_23","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T06:01:45Z","timestamp":1702447305000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent Postpartum Hemorrhage: A Case of Uterine Artery Pseudoaneurysm Probably Induced by Anticoagulants"],"prefix":"10.4103","author":[{"given":"Sangam","family":"Jha*","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharda","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pammy","family":"Praveena","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jafeesha","family":"Brightsingh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"R1-20240830","first-page":"e106","article-title":"Prevention and management of postpartum haemorrhage: Green-top guideline no. 52","volume":"124","year":"2017","journal-title":"BJOG"},{"key":"R3-20240830","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jemermed.2018.12.016","article-title":"Uterine artery pseudoaneurysm:A life-threatening cause of vaginal bleeding in the emergency department","volume":"56","author":"Jennings","year":"2019","journal-title":"J Emerg Med"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.gmit.2016.04.002","article-title":"Uterine artery pseudoaneurysm caused by a uterine manipulator","volume":"6","author":"Seki","year":"2017","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R5-20240830","first-page":"6196575","article-title":"Development of vaginal pseudoaneurysm 3 years after cesarean section possibly induced by anticoagulant and antiplatelet therapies","volume":"2020","author":"Kinjo","year":"2020","journal-title":"Case Rep Obstet Gynecol"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1111\/aogs.12575","article-title":"Uterine artery pseudoaneurysm after non-traumatic vaginal delivery as a cause of postpartum hemorrhage:Determination of its mechanism is urgently needed","volume":"94","author":"Matsubara","year":"2015","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R7-20240830","doi-asserted-by":"crossref","first-page":"e253804","DOI":"10.1136\/bcr-2022-253804","article-title":"Case of postpartum uterine artery pseudoaneurysm associated with von willebrand disease","volume":"15","author":"Wayson","year":"2022","journal-title":"BMJ Case Rep"},{"key":"R8-20240830","doi-asserted-by":"crossref","first-page":"e28093","DOI":"10.1097\/MD.0000000000028093","article-title":"Diagnosis and treatment of uterine artery pseudoaneurysm:Case series and literature review","volume":"100","author":"Wu","year":"2021","journal-title":"Medicine (Baltimore)"},{"key":"R9-20240830","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1002\/uog.11123","article-title":"Pitfalls in diagnosis of uterine artery pseudoaneurysm after cesarean section","volume":"40","author":"Bouchet","year":"2012","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R10-20240830","first-page":"2158248","article-title":"Apotentially useful addition to predict spontaneous resolution of uterine artery pseudoaneurysm:Absence of diastolic flow","volume":"2018","author":"Baba","year":"2018","journal-title":"Case Rep Obstet Gynecol"},{"key":"R11-20240830","doi-asserted-by":"crossref","first-page":"20220010","DOI":"10.1515\/crpm-2022-0010","article-title":"Embolization of uterine artery pseudoaneurysm during pregnancy:Case report and review of the literature","volume":"12","author":"Metz","year":"2023","journal-title":"Case Rep Perinat Med"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_78_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:54:04Z","timestamp":1787763244000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_78_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,11]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_78_23","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,11]]},"assertion":[{"value":"2023-06-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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