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Case Reports
. 2015 Sep;44(7):665-9.
doi: 10.1016/j.jgyn.2014.07.005. Epub 2014 Sep 6.

[Embolization of a ruptured pseudo-aneurysm of the uterine artery at 26weeks of gestation: Materno-fetal consequences; a case-report]

[Article in French]
C Maignien  1 , L Marcellin  2 , O Anselem  2 , S Silvera  3 , B Dousset  4 , G Grangé  2 , F Goffinet  2
Affiliations
Case Reports

[Embolization of a ruptured pseudo-aneurysm of the uterine artery at 26weeks of gestation: Materno-fetal consequences; a case-report]

[Article in French]
C Maignien et al. J Gynecol Obstet Biol Reprod (Paris). 2015 Sep.

Abstract

Rupture of a uterine artery pseudo-aneurysm during pregnancy is a rare condition with potential life-threatening complications, and management should take into account the fetal impact of the therapeutic choice. We report the case of a 2cm left uterine artery pseudo-aneurysm revealed by pelvic pain, in a 30-year-old pregnant woman at 26(+0)weeks of gestation (WG). Diagnosis was suspected at ultrasound scan, and confirmed with Magnetic Resonance angiography that showed signs of pre-rupture. An emergency selective embolization attempted in utero allowed the complete exclusion of the aneurysmal sac. The patient gave birth one month later to a girl at 31(+1)WG, initially managed by neonatologists, who is currently in good health.

Keywords: Artère utérine; Embolisation; Embolization; Grossesse; Pregnancy; Pseudo-aneurysm; Pseudo-anévrisme; Uterine artery.

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