Uterine pseudoaneurysm after abdominal myomectomy: A case report

被引:2
作者
Rossard, Lauranne [1 ,2 ]
Body, Gilles [1 ,2 ,3 ]
Ouldamer, Lobna [1 ,2 ,3 ]
机构
[1] Ctr Hosp Reg Univ Tours, Hop Bretonneau, Dept Gynecol, 2 Blvd Tonnelle, F-37044 Tours, France
[2] Francois Rabelais Univ, Tours, France
[3] INSERM, Unit 1069, Tours, France
关键词
Uterine pseudoanevrysm; Myomectomy; Complication; Doppler ultrasound; ARTERY PSEUDOANEURYSM; EMBOLIZATION;
D O I
10.1016/j.jogoh.2020.101877
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We present the case of a young woman with abnormal vaginal bleeding two weeks after an abdominal myomectomy. The intervention was initially considered uncomplicated. Transvaginal sonography detected a pulsatile cystic area, just above the endometrium in the anterior wall of the lower uterine segment. Color Doppler analysis revealed the communication between an artery and a vein. Although, the ultrasound was completely sufficient for diagnosis, computed tomographic angiography was performed and confirmed the diagnosis of uterine pseudoanevrysm within the uterine myometrium. Selective arterial embolization was performed with complete recovery. (C) 2020 Elsevier Masson SAS. All rights reserved.
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页数:3
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