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Fig. 1B. 34-year-old woman with postpartum hemorrhage resistant to
medical treatment. Findings at manual exploration of uterine cavity were
negative. Selective arteriogram shows internal iliac artery after embolization
of vaginal and uterine arteries. Blood extravasation is absent from vaginal
artery (single arrow), and distal uterine vessels (double
arrows) are devascularized. Note pledget of gelatin sponge (Gelfoam;
Upjohn, Kalamazoo, MI) in obturatory artery (arrowhead), which did
not induce any complication.