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

• Moon G
• Jeon S
• Nam KH
• Choi S
• Sunwoo J
• Ryu A

• KMID: 2148940
• DOI: http://doi.org/10.5468/ogs.2015.58.3.256

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).

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