Document Detail

Uterine artery pseudoaneurysm after cesarean section: case report and literature review.
MedLine Citation:
PMID:  20656567     Owner:  NLM     Status:  MEDLINE    
Uterine artery pseudoaneurysm (UAP) occurs rarely and can develop after various gynecologic or obstetric procedures. The delayed diagnosis of this disease often results in life-threatening hemorrhage. Herein is described a case of UAP after cesarean section. The patient visited our emergency outpatient department 99 days after cesarean section because of abnormal uterine bleeding, which was diagnosed as UAP using color Doppler ultrasonography and contrast medium-enhanced computed tomography. Selective transcatheter arterial embolization was performed to resolve the lesion without complications. We also conducted a review to identify the demographic etiology of UAP. A PubMed search yielded 57 cases reported in the English literature. The most frequent cause of UAP was cesarean section, which accounted for 47.4% of all cases. The mean interval between the incident and the symptoms was approximately 2 weeks, regardless of cause. At analysis of 17 cases diagnosed within a day, it became evident that the definitive diagnosis was made at angiography (41.2%), computed tomography (29.4%), or color Doppler ultrasonography (29.4%). Almost all cases (94.1%) were conservatively treated with transcatheter uterine artery embolization. Consideration of UAP in the differential diagnosis is crucial for proper treatment before rupture and to preserve fertility.
Wataru Isono; Ryo Tsutsumi; Osamu Wada-Hiraike; Akihisa Fujimoto; Yutaka Osuga; Tetsu Yano; Yuji Taketani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-24
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  17     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-10-19     Completed Date:  2011-05-24     Revised Date:  2011-06-22    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  687-91     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Department of Obstetrics and Gynecology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
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MeSH Terms
Aneurysm, False / diagnosis*,  etiology*,  surgery
Cesarean Section / adverse effects*
Uterine Artery / surgery*
Uterine Artery Embolization*
Comment In:
J Minim Invasive Gynecol. 2011 May-Jun;18(3):411-2; author reply 412   [PMID:  21545975 ]

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