本文报告1例产后出血患者行经导管子宫动脉栓塞术过程中发现子宫动脉与股深动脉异常分流的病例资料，分析其影像学表现、处理策略及预后。

术中超选择性造影显示左侧子宫动脉上行支与股深动脉之间存在异常交通分流，股浅动脉经返流显影。术中对左子宫动脉下行支行明胶海绵颗粒栓塞，上行支分流细小未予处理。术后出血停止，未发生异位栓塞及下肢缺血等并发症。

子宫动脉与股深动脉异常交通罕见但具有重要临床意义，充分的术前及术中影像学评估、规范超选择性操作及合理选择栓塞策略是避免异位栓塞并发症的关键。

This article reports a case of postpartum hemorrhage with an unusual shunt between the uterine artery and profunda femoris artery detected during UAE was retrospectively analyzed, including imaging findings, management strategy, and outcome.

Superselective angiography revealed an abnormal communication between the ascending branch of the left uterine artery and the profunda femoris artery, with reflux opacification of the superficial femoral artery. The descending branch of the left uterine artery was embolized with gelatin sponge particles, while the small shunt in the ascending branch was not treated. Hemorrhage was successfully controlled without ectopic embolization or lower limb ischemic complications.

Although rare, abnormal communication between the uterine artery and profunda femoris artery is clinically significant. Careful preoperative and intraoperative imaging evaluation, standardized superselective techniques, and appropriate embolization strategies are essential to reduce the risk of ectopic embolization.