Uterine artery pseudoaneurysm requiring embolization during pregnancy.

Cornette, Jérôme; van der Wilk, Eline; Janssen, Nina M; van der Weiden, Robin M F; Jenninkens, Sjoerd F M; Pattynama, Peter; Duvekot, Johannes J · Obstet Gynecol · 2014

case_report · Level V

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Abstract

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. 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. Endovascular embolization is a feasible therapeutic option for a uterine artery pseudoaneurysm during pregnancy without compromising fetoplacental perfusion.

Medical subject headings