Uterine artery pseudoaneurysm (UAP) is a rare cause of secondary postpartum hemorrhage.

 In this case, transvaginal color Doppler US showed a 12 mm cystic structure in right wall of uterus with varying colors and yin-yang appearance. Duplex Doppler US showed turbulent flow within the structure, Doppler US scan identified to-and-fro flow in the sac, indicating a pseudoaneurysm.

Bilateral angiogram confirmed pseudoaneurysm in the right uterine artery.

Angiography and embolization performed by Dr Mohammad Momen Gharibvand, interventional radiologist at Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.