Advanced Ultrasound in Diagnosis and Therapy ›› 2022, Vol. 6 ›› Issue (4): 210-213.doi: 10.37015/AUDT.2022.210031

• Case Reports • Previous Articles     Next Articles

Uterine Artery Pseudoaneurysm after Cesarean Section Treated with Superselective Embolization: A Case Report

Jullie Anne Chistea,*(), Larissa Cavalli de Oliveiraa, Liziane Lorussob, Anna Luisa Aranha Nunesc, João Vitor Bacarind   

  1. a Physician, specializing in Gynecology and Obstetrics, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil
    b Gynecologist and Obstetrician, specialist in fetal medicine and ultrasound in gynecology and obstetrics linked to service of Ultrasound in Gynecology and Obstetrics of Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil
    c Radiologist Physician, fellow in Magnetic Resonance at DAPI (Diagnóstico Avançado por Imagem) Curitiba, Paraná, Brazil
    d Interventional Radiologist Physician linked to Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil
  • Received:2021-09-27 Revised:2021-10-19 Accepted:2021-11-07 Online:2022-12-30 Published:2022-10-25
  • Contact: Jullie Anne Chiste, E-mail:julliext@gmail.com

Abstract:

Uterine artery pseudoaneurysm is a rare complication associated with obstetric or gynecological procedures. We described a case report of a primigravid, underwent cesarean section who evolved with massive, intermittent vaginal bleeding requiring multiple blood transfusions. The diagnosis of uterine artery pseudoaneurysm was suspected on transvaginal Doppler ultrasound and confirmed on computed tomography angiography. Due to the patient's stability, age and undefined offspring, superselective uterine artery embolization was chosen for treatment and the procedure successfully performed.

Key words: Pseudoaneurysm; Uterine artery; Postpartum haemorrhage; Embolization ultrasound