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Case Reports
. 2014 Feb;123(2 Pt 2 Suppl 2):453-456.
doi: 10.1097/AOG.0000000000000002.

Uterine artery pseudoaneurysm requiring embolization during pregnancy

Jérôme Cornette  1 , Eline van der Wilk, Nina M Janssen, Robin M F van der Weiden, Sjoerd F M Jenninkens, Peter Pattynama, Johannes J Duvekot
Affiliations
Case Reports

Uterine artery pseudoaneurysm requiring embolization during pregnancy

Jérôme Cornette et al. Obstet Gynecol. 2014 Feb.

Abstract

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.

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References

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