Objective To describe the diagnosis and management of uterine artery pseudoaneurysm after caesarian section.

Design Case report.

Setting Department of Obstetrics and Gynaecology.

Patient A 25-year-old woman developed uterine artery pseudoaneurysm after caesarean section.

Intervention Uterine artery pseudoaneurysm after caesarian section was diagnosed on ultrasonography, computerised tomographic angiography and treated by bilateral internal iliac artery ligation.

Main Outcome Measure Uterine conservation.

Result Fertility preservation was achieved in the woman.

Conclusion(s) Diagnosis and management of uterine artery pseudoaneurysm after caesarian section are important to prevent life-threatening haemorrhage caused by pseudoaneurysmal rupture.

Keywords Uterine artery pseudoaneurysm, Caesarian section, Secondary postpartum, haemorrhage, Ultrasonography, Computerised tomographic angiography, Internal iliac artery ligation.