The Journal of Minimally Invasive Gynecology
Volume 17, Issue 6 , Pages 687-691 , November 2010

Uterine Artery Pseudoaneurysm after Cesarean Section: Case Report and Literature Review

Received 19 April 2010 ,Accepted 9 June 2010.

References 

  1. Soyer P, Fargeaudou Y, Morel O, Boudiaf M, Le Dref O, Rymer R. Severe postpartum haemorrhage from ruptured pseudoaneurysm: successful treatment with transcatheter arterial embolization. Eur Radiol. 2008;18:1181–1187
  2. Lausman AY, Ellis CA, Beecroft JR, Simons M, Shapiro JL. A rare etiology of delayed postpartum hemorrhage. J Obstet Gynaecol Can. 2008;30:239–243
  3. Yi SW, Ahn JH. Secondary postpartum hemorrhage due to a pseudoaneurysm rupture at the fundal area of the uterus: a case treated with selective uterine arterial embolization. Fertil Steril. 93:2048–2049.
  4. Eriksson LG, Mulic-Lutvica A, Jangland L, Nyman R. Massive postpartum hemorrhage treated with transcatheter arterial embolization: technical aspects and long-term effects on fertility and menstrual cycle. Acta Radiol. 2007;48:635–642
  5. Donmez H, Ozturk MH, Gurgen F, Soylu SO, Hekimoglu B. Intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm: superselective arteriographic embolization via the collateral route. Cardiovasc Intervent Radiol. 2007;30:310–312
  6. Eason DE, Tank RA. Avoidable morbidity in a patient with pseudoaneurysm of the uterine artery after cesarean section. J Clin Ultrasound. 2006;34:407–411
  7. Kovo M, Behar DJ, Friedman V, Malinger G. Pelvic arterial pseudoaneurysm: a rare complication of cesarean section; diagnosis and novel treatment. Ultrasound Obstet Gynecol. 2007;30:783–785
  8. Mammen T, Shanthakumari H, Gopi K, Lionel J, Ayyappan AP, Kekre A. Iatrogenic secondary post-partum haemorrhage: apropos of two uncommon cases. Australas Radiol. 2006;50:392–394
  9. Cooper BC, Hocking-Brown M, Sorosky JI, Hansen WF. Pseudoaneurysm of the uterine artery requiring bilateral uterine artery embolization. J Perinatol. 2004;24:560–562
  10. Henrich W, Fuchs I, Luttkus A, Hauptmann S, Dudenhausen JW. Pseudoaneurysm of the uterine artery after cesarean delivery: sonographic diagnosis and treatment. J Ultrasound Med. 2002;21:1431–1434
  11. Cantasdemir M, Yilmaz MH, Kantarci F, Mihmanli I, Numan F, Mihmanli V. Endovascular management of postpartum massive vaginal bleeding: a case presenting with a pseudoaneurysm following subtotal hysterectomy. Arch Gynecol Obstet. 2002;267:104–106
  12. Gurses C, Yilmaz S, Biyikli S, Yildiz IO, Sindel T. Uterine artery pseudoaneurysm: unusual cause of delayed postpartum hemorrhage. J Clin Ultrasound. 2008;36:189–191
  13. Ho SP, Ong CL, Tan BS. A case of uterine artery pseudoaneurysms. Singapore Med J. 2002;43:202–204
  14. Descargues G, Douvrin F, Gravier A, Lemoine JP, Marpeau L, Clavier E. False aneurysm of the uterine pedicle: an uncommon cause of post-partum haemorrhage after caesarean section treated with selective arterial embolization. Eur J Obstet Gynecol Reprod Biol. 2001;97:26–29
  15. Pelage JP, Soyer P, Repiquet D, et al. Secondary postpartum hemorrhage: treatment with selective arterial embolization. Radiology. 1999;212:385–389
  16. Butori N, Coulange L, Filipuzzi L, Krause D, Loffroy R. Pseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization. Obstet Gynecol. 2009;113(2, pt 2):540–543
  17. Ozdemir H, Ozturk T, Kocakoc E, Kayal A. Uterine arterial pseudoaneurysm: transcatheter arterial embolization as a rare complication of caesarean section. South Med J. 2009;102:1176–1178
  18. Samad S, Jonetzko P, Hawkins AP, Booth J, Thorpe-Beeston G, Marwood R. An unusual cause of delayed postpartum haemorrhage following caesarean section. Emerg Med J. 2009;26:621–622
  19. Alboni C, Rosati F, Sansavini S, et al. Three-dimensional power Doppler imaging of uterine artery pseudoaneurysm treated unsuccessfully with selective embolization. Ultrasound Obstet Gynecol. 2009;33:614–616
  20. Marnela K, Saarelainen S, Palomaki O, Kirkinen P. Sonographic diagnosis of postpartum pseudoaneurysms of the uterine artery: a report of 2 cases [published online ahead of print December 18, 2009]. J Clin Ultrasound. 2010;38:205–208
  21. Asai S, Asada H, Furuya M, Ishimoto H, Tanaka M, Yoshimura Y. Pseudoaneurysm of the uterine artery after laparoscopic myomectomy. Fertil Steril. 2009;91:929e921–929e923
  22. Takeda A, Kato K, Mori M, Sakai K, Mitsui T, Nakamura H. Late massive uterine hemorrhage caused by ruptured uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. J Minim Invasive Gynecol. 2008;15:212–216
  23. Takeda A, Koyama K, Imoto S, Mori M, Sakai K, Nakamura H. Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. Fertil Steril. 2009;92:1487–1491
  24. Higon MA, Domingo S, Bauset C, Martinez J, Pellicer A. Hemorrhage after myomectomy resulting from pseudoaneurysm of the uterine artery. Fertil Steril. 2007;87:417e415–417e418
  25. Lee WK, Roche CJ, Duddalwar VA, Buckley AR, Morris DC. Pseudoaneurysm of the uterine artery after abdominal hysterectomy: radiologic diagnosis and management. Am J Obstet Gynecol. 2001;185:1269–1272
  26. Langer JE, Cope C. Ultrasonographic diagnosis of uterine artery pseudoaneurysm after hysterectomy. J Ultrasound Med. 1999;18:711–714
  27. Bromley PJ, Clark T, Weir IH, Zwirewich CV. Radiologic diagnosis and management of uterine artery pseudoaneurysm: case report. Can Assoc Radiol J. 1997;48:119–122
  28. Delotte J, Novellas S, Koh C, Bongain A, Chevallier P. Obstetrical prognosis and pregnancy outcome following pelvic arterial embolisation for post-partum hemorrhage. Eur J Obstet Gynecol Reprod Biol. 2009;145:129–132
  29. Padavala SM, Ahluwalia A. Post-abortal bleeding due to uterine artery pseudoaneurysm. J Obstet Gynaecol. 2004;24:834–835
  30. Ferrero S, Bogliolo S, Rossi UG, et al. Unusual complication of excision of pelvic endometriosis: pseudoaneurysm of the left uterine artery. Fertil Steril. 2009;93:264–266
  31. Zanati J, Sergent F, Clavier E, Marpeau L. Late post-conization hemorrhage and false aneurysm of the uterine pedicle. [in French] J Gynecol Obstet Biol Reprod (Paris). 2006;35:725–728
  32. Vilos GA, Urian R, Chang P, Kozak R. Femoral artery puncture site pseudoaneurysm formation following uterine artery embolization for symptomatic fibroids: a case report. J Obstet Gynaecol Can. 2009;31:263–266
  33. Polat P, Suma S, Kantarcy M, Alper F, Levent A. Color Doppler US in the evaluation of uterine vascular abnormalities. Radiographics. 2002;22:47–53
  34. Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: diagnosis with US and treatment with transcatheter arterial embolization. Radiographics. 2002;22:35–46
  35. McGonegle SJ, Dziedzic TS, Thomas J, Hertzberg BS. Pseudoaneurysm of the uterine artery after an uncomplicated spontaneous vaginal delivery. J Ultrasound Med. 2006;25:1593–1597
  36. Wald DA. Postpartum hemorrhage resulting from uterine artery pseudoaneurysm. J Emerg Med. 2003;25:57–60
  37. Zimon AE, Hwang JK, Principe DL, Bahado-Singh RO. Pseudoaneurysm of the uterine artery. Obstet Gynecol. 1999;94(5, pt 2):827–830
  38. Laubach M, Delahaye T, Van Tussenbroek F, Debing E, De Catte L, Foulon W. Uterine artery pseudo-aneurysm: diagnosis and therapy during pregnancy. J Perinat Med. 2000;28:321–325
  39. Kim YA, Han YH, Jun KC, Jeon MK, Lee ES. Uterine artery pseudoaneurysm manifesting delayed postabortal bleeding. Fertil Steril. 2008;90:849e811–849e844
  40. Pelage JP, Le Dref O, Jacob D, Soyer P, Herbreteau D, Rymer R. Selective arterial embolization of the uterine arteries in the management of intractable post-partum hemorrhage. Acta Obstet Gynecol Scand. 1999;78:698–703
  41. Nessi F, Ferrero E, Gaggiano A, et al. Uterine artery pseudo-aneurysm during pregnancy: diagnosis and surgical treatment. Minerva Chir. 2008;63:182–183

 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(10)00299-2

doi: 10.1016/j.jmig.2010.06.004

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 6 , Pages 687-691 , November 2010

Article Tools

* Image Usage & Resolution