Uterine Artery Pseudoaneurysm Requiring Embolization During Pregnancy

BACKGROUND:Uterine artery pseudoaneurysm has a pathognomonic ultrasound appearance. Its occurrence in pregnancy is life-threatening for both mother and fetus. We present an illustrative case and discuss management with selective uterine artery embolization during pregnancy. CASE:A 37-year-old pregna...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2014-02, Vol.123 (2, PART 2 Suppl 2), p.453-456
Hauptverfasser: Cornette, Jérôme, van der Wilk, Eline, Janssen, Nina M, van der Weiden, Robin M F, Jenninkens, Sjoerd F M, Pattynama, Peter, Duvekot, Johannes J
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Sprache:eng
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Zusammenfassung:BACKGROUND:Uterine artery pseudoaneurysm has a pathognomonic ultrasound appearance. Its occurrence in pregnancy is life-threatening for both mother and fetus. We present an illustrative case and discuss management with selective uterine artery embolization during pregnancy. CASE:A 37-year-old pregnant woman presented with profuse painless vaginal blood loss at a gestational age of 27 weeks. Ultrasonography and magnetic resonance imaging indicated a left-sided uterine artery pseudoaneurysm. Selective embolization of the pseudoaneurysm was performed. Blood loss ceased allowing the pregnancy to continue until term. CONCLUSION:Endovascular embolization is a feasible therapeutic option for a uterine artery pseudoaneurysm during pregnancy without compromising fetoplacental perfusion.
ISSN:0029-7844
1873-233X
DOI:10.1097/AOG.0000000000000002