Pseudoaneurysm of the Uterine Artery After Cesarean Delivery Management With Superselective Arterial Embolization

被引：20
作者：
Butori, Noemie
Coulange, Laurene
Filipuzzi, Laurence
Krause, Denis
Loffroy, Romaric [1 ]
机构：
[1] Univ Dijon, Sch Med, Bocage Teaching Hosp, Dept Vasc & Intervent Radiol, F-21079 Dijon, France
来源：
OBSTETRICS AND GYNECOLOGY | 2009年 / 113卷 / 02期
关键词：
HEMORRHAGE; SECTION;
D O I：
10.1097/AOG.0b013e318190a43a
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
BACKGROUND: Uterine artery pseucloaneurysm is a rare but serious complication of pelvic surgery. Cesarean delivery is the most common cause. CASE: We report a case of postpartum pelvic hemorrhage after cesarean delivery. A false aneurysm of the uterine artery was found by color Doppler ultrasonography and multislice spiral computed tomography. Arteriography confirmed the diagnosis. Superselective coil embolization of the aneurysm sac was achieved using the packing technique. The main uterine artery was preserved and the postprocedural course was uneventful. CONCLUSION: Color Doppler ultrasonography and computed tomography were useful for the early diagnosis of uterine artery pseucloaneurysm. Primary transcatheter arterial embolization controlled bleeding without compromising reproductive potential.
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收藏
页码：540 / 543
页数：4
相关论文
共 7 条
[1]   False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after caesarean section treated with selective arterial embolization [J].
Descargues, G ;
Douvrin, F ;
Gravier, A ;
Lemoine, JP ;
Marpeau, L ;
Clavier, E .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2001, 97 (01) :26-29
[2]  
HIGON MA, 2007, FERTIL STERIL, V87
[3]   Pelvic arterial pseudoaneurysm - a rare complication of Cesarean section: diagnosis and novel treatment [J].
Kovo, M. ;
Behar, D. J. ;
Friedman, V. ;
Malinger, G. .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2007, 30 (05) :783-785
[4]   Pseudoaneurysms and the role of minimally invasive techniques in their management [J].
Saad, NEA ;
Saad, WEA ;
Davies, MG ;
Waldman, DL ;
Fultz, PJ ;
Rubens, DJ .
RADIOGRAPHICS, 2005, 25 :S173-S190
[5]   Late massive uterine hemorrhage caused by ruptured uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy [J].
Takeda, Akihiro ;
Kato, Kayoko ;
Mori, Masahiko ;
Sakai, Kotaro ;
Mitsui, Takashi ;
Nakamura, Hiromi .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2008, 15 (02) :212-216
[6]   Uterine artery embolization: An underused method of controlling pelvic hemorrhage [J].
Vedantham, S ;
Goodwin, SC ;
McLucas, B ;
Mohr, G .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 176 (04) :938-948
[7]   Pseudoaneurysm of the uterine artery [J].
Zimon, AE ;
Hwang, JK ;
Principe, DL ;
Bahado-Singh, RO .
OBSTETRICS AND GYNECOLOGY, 1999, 94 (05) :827-830
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