Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2023; 11(17): 4065-4071
Published online Jun 16, 2023. doi: 10.12998/wjcc.v11.i17.4065
Emergency internal iliac artery temporary occlusion after massive hemorrhage during surgery of cesarean scar pregnancy: A case report
Ji-Ping Xie, Lin-Lin Chen, Wen Lv, Wu Li, Hui Fang, Guang Zhu
Ji-Ping Xie, Lin-Lin Chen, Wen Lv, Wu Li, Guang Zhu, Department of Gynecology, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang Province, China
Hui Fang, Department of Medical Ultrasonics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang Province, China
Author contributions: Xie JP reviewed the literature and contributed to manuscript drafting; Chen LL involved in the data curation; Lv W supervised the findings of this work; Li W did the surgical appraisal; Fang H analyzed and interpreted the imaging findings; Zhu G was responsible for the revision of the manuscript for important intellectual content; and all authors issued final approval for the version to be submitted.
Supported by Medical Health Science and Technology Project of Zhejiang Province, China, No. 2020ZH003.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guang Zhu, MM, Department of Gynecology, Tongde Hospital of Zhejiang Province, No. 234 Gucui Road, Xihu District, Hangzhou 310012, Zhejiang Province, China. zhuguang6603131@163.com
Received: December 27, 2022
Peer-review started: December 27, 2022
First decision: March 24, 2023
Revised: April 24, 2023
Accepted: May 19, 2023
Article in press: May 19, 2023
Published online: June 16, 2023
Processing time: 167 Days and 1.5 Hours
Core Tip

Core Tip: Unanticipated massive hemorrhage during cesarean scar pregnancy surgery can lead to serious complications. If not effectively managed, it can lead to hemorrhagic shock or even death. Uterine artery embolization is usually used to prevent massive hemorrhage, but it requires multidisciplinary cooperation and cannot be performed immediately in the case of emergency. We adopted bilateral internal iliac artery emergency temporary occlusion to control intraoperative bleeding immediately without postoperative complications, and this may be a feasible method.