IMR Press / CEOG / Volume 45 / Issue 6 / DOI: 10.12891/ceog4432.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Treatment of uterine artery pseudoaneurysm by embolization or hysteroscopy combined with laparoscopy: two case reports
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1 The Dalian Obstetrics and Gynecology Hospital (Maternal and Child Health Care Hospital), Affiliated Dalian Medical University, Dalian, China
Clin. Exp. Obstet. Gynecol. 2018, 45(6), 959–962; https://doi.org/10.12891/ceog4432.2018
Published: 10 December 2018
Abstract
Uterine artery pseudoaneurysm (UAP) is a rare but potentially life-threatening condition when it ruptures. The primary therapeutic method is embolization, which is approved by most specialists. The authors researched two case reports of UAP. By conducting Doppler ultrasonography and arteriography, two women were diagnosed with UAP after caesarean section, and then arterial embolization was performed for treatment. After embolization, the treatment was successful in one patient but failed in the other one with repeated vaginal bleeding. Therefore, laparoscopy combined with hysteroscopy was performed to the other patient, in which uterine myometrial lesions were located under hysteroscopy and resected by laparoscopy. Finally, the uterine wall defect was reconstructed by suture, and the abnormal vaginal bleeding was successfully stopped after operation. Patients with unexplained abnormal vaginal bleeding, especially after trauma in uterus, should be cared for in case of developing UAP. Embolization is the priority treatment for UAP, while laparoscopy combined with hysteroscopy could be an alternative treatment of unsuccessful embolization.
Keywords
Uterine artery pseudoaneurysm (UAP)
Embolization
Hysteroscopy
Laparoscopy
Uterine myometrial lesion resection
Abnormal uterine artery
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