| Uterine artery pseudoaneurysm manifesting as postpartum hemorrhage after uneventful second-trimester pregnancy termination. | |
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MedLine Citation:
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PMID: 20666957 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Uterine artery pseudoaneurysm is a rare complication mainly of abdominal or interventional delivery that can cause profuse postpartum hemorrhage if unrecognized or inadequately treated. There has been no report of this disorder accompanying uneventful second-trimester pregnancy termination. A primiparous Japanese woman underwent pregnancy termination at 24 weeks' gestation due to fetal death. Gradual dilatation of the cervix followed by administration of vaginal gemeprost led to an uneventful delivery without curettage. After 41 days, profuse vaginal bleeding occurred. Ultrasound revealed a mass within the uterine cavity and color Doppler indicated the presence of high-speed flow within the mass. Selective angiography revealed that the mass was connected to the right uterine artery, from which extravasation was observed. Uterine artery pseudoaneurysm was diagnosed, and we performed successful uterine artery embolization. This is the first report of uterine artery pseudoaneurysm after second-trimester pregnancy termination. Our experience indicates that even after uneventful pregnancy termination, clinicians must remain aware of the possibility of pseudoaneurysm, manifesting as postpartum/post-termination hemorrhage. |
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Authors:
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Shigeki Matsubara; Yoshifumi Takahashi; Rie Usui; Manabu Nakata; Tomoyuki Kuwata; Mitsuaki Suzuki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: 36 ISSN: 1447-0756 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-29 Completed Date: 2010-11-04 Revised Date: 2012-01-19 |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Australia |
Other Details:
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Languages: eng Pagination: 856-60 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan. matsushi@jichi.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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adverse effects Aneurysm, False / complications, diagnosis* Female Fetal Death / therapy Humans Postpartum Hemorrhage / etiology* Pregnancy Pregnancy Trimester, Second Uterine Artery / pathology* Uterine Artery Embolization Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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