Puerperal vulvovaginal hematoma with an uncommon feeding vessel from the inferior mesenteric artery: a case report

Puerperal hematoma is a serious obstetric complication. We report case of large puerperal with an uncommon feeding vessel originating from inferior mesenteric artery. A 28-year-old primiparous woman was transferred to our hospital in the left vaginal wall following normal delivery. Contrast-enhanced CT revealed actively bleeding vulvovaginal 9 cm diameter, and transcatheter arterial embolization performed. Arteriogram internal iliac arteries did not reveal vessel. Embolization peripheral branch superior rectal artery, which originated achieved hemostasis. If are source active bleeding, more proximal angiography artery recommended assess vessels.