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

doi:10.37015/AUDT.2022.210031

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

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

Jullie Anne Chiste^a^,^*(), Larissa Cavalli de Oliveira^a, Liziane Lorusso^b, Anna Luisa Aranha Nunes^c, João Vitor Bacarin^d

^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

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Abstract

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

Jullie Anne Chiste, Larissa Cavalli de Oliveira, Liziane Lorusso, Anna Luisa Aranha Nunes, João Vitor Bacarin. Uterine Artery Pseudoaneurysm after Cesarean Section Treated with Superselective Embolization: A Case Report. Advanced Ultrasound in Diagnosis and Therapy, 2022, 6(4): 210-213.

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[1]	Lwin S, Soe T, Yi MS, Lee CMF, Pei SMCK, Nwe TM. Uterine artery pseudoaneurysm: A case of late intraabdominal haemorrhage after caesarean sectio. Med J Malaysia 2020; 75: 298-300
[2]	Shayesteh S, Fouladi DF, Chu LC, Fishman EK. Uterine artery pseudoaneurysm following cesarean section; a case repor. J Radiol Case Rep May 2020; 15: 633-636.
[3]	Youssef AT. Intrauterine arterial pseudoaneurysm, a rare cause of per vaginal Bleedin. J Ultrasound 2018; 21: 333-337. doi: 10.1007/s40477-018-0295-4 pmid: 29605869
[4]	Jennings L, Presley B, Krywko D. Uterine artery pseudoaneurysm: A life-threatening cause of vaginal bleeding in the emergency departmen. J Emerg Med 2019; 56: 327-331. doi: S0736-4679(18)31208-3 pmid: 30685218
[5]	Parr K, Hadimohd A, Browning A, Moss J. Diagnosing and treating postpartum uterine artery pseudoaneurys. Proc (Bayl Univ Med Cent) 2018; 31: 56-58.
[6]	Roeckner JT, Louis-Jacques AF, Zwiebel BR, Louis JM. Uterine artery pseudoaneurysm and embolisation during pregnanc. BMJ Case Rep 2020; 13: e234058.
[7]	Dohan A, Soyer P, Subhani A, Hequet D, Fargeaudou Y, Morel O, et al. Postpartum hemorrhage resulting from pelvic pseudoaneurysm: a retrospective analysis of 588 consecutive cases treated by arterial embolizatio. Cardiovasc Intervent Radiol 2013; 36: 1247-1255. doi: 10.1007/s00270-013-0668-1

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

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