Obstet Gynecol Sci.  2015 May;58(3):256-259. 10.5468/ogs.2015.58.3.256.

Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after cervical conization

Affiliations
  • 1Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. sjeon@schmc.ac.kr
  • 2Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Abstract

Uterine arterial pseudoaneurysm is a very rare condition usually associated with postpartum hemorrhage. It almost never occurs after cervical conization; however, since ruptured pseudoaneurysm could be life threatening, we should consider the possibility of vascular injury such as pseudoaneurysm when we find a patient with vaginal bleeding after the process of surgical operation. Emergency arterial embolization is a well established therapeutic option to control the ruptured pseudoaneurysm. This is a case report of uterine arterial pseudoaneurysm causing intra-abdominal bleeding followed by cervical conization, which was successfully treated by uterine artery embolization.

Keyword

Aneurysm, false; Cervical conization; Uterine arterial embolization

MeSH Terms

Aneurysm, False*
Conization*
Emergencies
Hemorrhage
Humans
Postpartum Hemorrhage
Uterine Artery Embolization
Uterine Artery*
Uterine Hemorrhage*
Vascular System Injuries

Figure

  • Fig. 1 Ultrasonography showed a hypoechoic lesion (arrow) in the cervix (A) and color doppler evaluation demonstrates blood flow within the hypoechoic lesion (B).

  • Fig. 2 Angiographic computed tomography (A) and 3-demensional reconstruction image (B). High attenuated fluid collection in pelvic cavity and enhancing aneurysmal sac is noted in left uterine artery (arrow).


Cited by  1 articles

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Angela Cho, Sunwha Park, Soyun Park, Hye Sim Kang, Soon Sup Shim, Chul Min Park, Sung Yob Kim
Obstet Gynecol Sci. 2019;62(2):138-141.    doi: 10.5468/ogs.2019.62.2.138.


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