RSS-Feed abonnieren
DOI: 10.1055/s-0039-1685238
Endovascular Management of a Rare Cause of Bleeding Per Vaginam: A Hole in the Mole
Publikationsverlauf
Received: 19. November 2018
Accepted after revision: 28. Januar 2019
Publikationsdatum:
18. April 2019 (online)
Abstract
Uterine artery aneurysm is a rare cause of bleeding per vaginam. Uterine artery pseudoaneurysms are rare but potentially life-threatening causes of persistent or delayed bleeding post-uterine curettage or any uterine surgery. Color Doppler ultrasonography is very useful for emergent diagnosis of these conditions and subsequent follow-up post-embolization. Computed tomography scan and magnetic resonance imaging play an important role in confirming the diagnosis. Transcatheter arterial embolization is the therapy of choice for such cases. Our case highlights the presentation, imaging appearance, and endovascular management of a case of uterine artery pseudoaneurysm.
-
References
- 1 Biscaro A, Braga A, Berkowitz RS. Diagnosis, classification and treatment of gestational trophoblastic neoplasia. Rev Bras Ginecol Obstet 2015; 37 (01) 42-51
- 2 Zimon AE, Hwang JK, Principe DL, Bahado-Singh RO. Pseudoaneurysm of the uterine artery. Obstet Gynecol 1999; 94 (05) Pt 2 827-830
- 3 Karmous N, Ayachi A, Derouich S, Mkaouar L, Mourali M. Rupture of uterine artery pseudoaneurysm: role of ultrasonography in postpartum hemorrhage management. Pan Afr Med J 2016; 25: 136
- 4 Langer JE, Cope C. Ultrasonographic diagnosis of uterine artery pseudoaneurysm after hysterectomy. J Ultrasound Med 1999; 18 (10) 711-714
- 5 Keepanasseril A, Suri V, Prasad GRV. et al. Management of massive hemorrhage in patients with gestational trophoblastic neoplasia by angiographic embolization: a safer alternative. J Reprod Med 2011; 56 (05) (06) 235-240
- 6 Kim GM, Yoon CJ, Seong NJ, Kang SG, Kim YJ. Postpartum haemorrhage from ruptured pseudoaneurysm: efficacy of transcatheter arterial embolisation using N-butyl-2-cyanoacrylate. Eur Radiol 2013; 23 (08) 2344-2349
- 7 Ros C, Barnes D, Fervienza A. et al. Ultrasound-guided transvaginal thrombin injection of uterine arteries pseudoaneurysms. Br J Radiol 2017; 90 1074 20160913