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Iwagaki S.,National Nagara Medical Center | Iwagaki S.,National Nagara Medical Center | Miyazaki T.,Gifu University | Mizuno T.,National Nagara Medical Center | And 2 more authors.
Journal of Obstetrics and Gynaecology Research | Year: 2015

To the best of our knowledge, this is the first report of post-partum hemorrhage (PPH) caused by an occult abnormal artery detected shortly after delivery on pelvic angiography (PAG). Initially, a diagnosis of uterine atony was made because the apparent cause of hemorrhage was not detected via the usual obstetrical examination. An abnormal artery, however, was suspected on PAG and confirmed on pathology. This case suggests a novel cause of persistent PPH resistant to obstetric management. Obstetricians should be aware that an abnormal artery may cause PPH, and that radiology may be required for diagnosis. © Japan Society of Obstetrics and Gynecology.

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