Secondary post-abortion hemorrhage is a significant cause of maternal morbidity and is commonly associated with retained products of conception (RPOC) or placental site subinvolution. We report the case of a 32-year-old woman presenting with persistent vaginal bleeding following medical termination of pregnancy at 8 weeks. Imaging revealed hypervascular retained products of conception. Given the high risk of hemorrhage with curettage, bilateral uterine artery embolization was performed successfully, resulting in prompt control of bleeding and preservation of fertility.
Dr Archana Anand (Thu,) studied this question.