| Uterine artery pseudoaneurysm after cesarean section: case report and literature review. | |
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MedLine Citation:
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PMID: 20656567 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Wataru Isono; Ryo Tsutsumi; Osamu Wada-Hiraike; Akihisa Fujimoto; Yutaka Osuga; Tetsu Yano; Yuji Taketani |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-07-24 |
Journal Detail:
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Title: Journal of minimally invasive gynecology Volume: 17 ISSN: 1553-4669 ISO Abbreviation: J Minim Invasive Gynecol Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-10-19 Completed Date: 2011-05-24 Revised Date: 2011-06-22 |
Medline Journal Info:
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Nlm Unique ID: 101235322 Medline TA: J Minim Invasive Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 687-91 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 AAGL. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, False / diagnosis*, etiology*, surgery Cesarean Section / adverse effects* Female Humans Uterine Artery / surgery* Uterine Artery Embolization* |
| Comments/Corrections | |
Comment In:
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J Minim Invasive Gynecol. 2011 May-Jun;18(3):411-2; author reply 412
[PMID:
21545975
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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