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Case Reports
. 2015 May;58(3):256-9.
doi: 10.5468/ogs.2015.58.3.256. Epub 2015 May 19.

Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after cervical conization

Gaeul Moon  1 , Seob Jeon  1 , Kye-Hyun Nam  2 , Seungdo Choi  1 , Jaegeun Sunwoo  1 , Aeli Ryu  1
Affiliations
Case Reports

Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after cervical conization

Gaeul Moon et al. Obstet Gynecol Sci. 2015 May.

Abstract

Uterine arterial pseudoaneurysm is a very rare condition usually associated with postpartum hemorrhage. It almost never occurs after cervical conization; however, since ruptured pseudoaneurysm could be life threatening, we should consider the possibility of vascular injury such as pseudoaneurysm when we find a patient with vaginal bleeding after the process of surgical operation. Emergency arterial embolization is a well established therapeutic option to control the ruptured pseudoaneurysm. This is a case report of uterine arterial pseudoaneurysm causing intra-abdominal bleeding followed by cervical conization, which was successfully treated by uterine artery embolization.

Keywords: Aneurysm, false; Cervical conization; Uterine arterial embolization.

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Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Ultrasonography showed a hypoechoic lesion (arrow) in the cervix (A) and color doppler evaluation demonstrates blood flow within the hypoechoic lesion (B).
Fig. 2
Fig. 2. Angiographic computed tomography (A) and 3-demensional reconstruction image (B). High attenuated fluid collection in pelvic cavity and enhancing aneurysmal sac is noted in left uterine artery (arrow).
See this image and copyright information in PMC

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