Fig. 2
From: Primary and secondary postpartum haemorrhage: a review for a rationale endovascular approach
A 36-year-old postpartum patient with hemodynamic instability and a sudden drop in hematocrit in the immediate postpartum period following an instrumental delivery with spatulas, despite the absence of significant vaginal bleeding. Angio-CT with arterial and delayed contrast phase was performed, revealing active extrauterine bleeding at the cervicovaginal level (arrow) with the formation of hematomas in the perivesical (open arrow) and prevesical (hollow star) spaces. B Selective catheterization and angiography in uterine pseudoaneurism rupture after cesarean delivery with active bleeding (arrow). C Selective catheterization and angiography in cervical pseudoaneurism rupture after cesarean delivery with active bleeding (arrow) after forceps-assisted instrumental delivery. D 32-year-old patient in immediate postpartum period after cesarean delivery. A significant increase in abdominal circumference is observed, along with a decrease in hematocrit and signs of hemodynamic instability. Hematoma of the rectus sheath with signs of active bleeding (arrow) was observed in angioCT