Figure 3.

A 38-year-old woman (G1P1) status post primary low cesarean section via Pfannenstiel incision who became tachycardic and hypotensive with rapid onset vaginal bleeding after delivery. Patient failed resuscitation with blood products and trial of lower uterine segment balloon tamponade. (A) Early arterial and (B) late arterial digital subtraction angiography (DSA) demonstrates a pseudoaneurysm (open arrow) arising from the uterine artery with active hemorrhage into the pelvis. (C) DSA of the uterine artery and (D) flush aortogram after transcatheter coiling demonstrates cessation of hemorrhage with coil pack (arrows) in the right hemipelvis.