IMR Press / CEOG / Volume 49 / Issue 11 / DOI: 10.31083/j.ceog4911252
Open Access Case Report
Life-threatening bleeding after pelvic exenteration for recurrent cervical cancer: endovascular management of ruptured external iliac artery pseudoaneurysm: a case report and literature review
Xi Chen1,2Yang Shen1,2,*Bo Ding1,2
Show Less
1 Department of Obstetrics and Gynaecology, Zhongda Hospital, School of Medicine, Southeast University, 210009 Nanjing, Jiangsu, China
2 Institute of Women's Life and Health, Southeast University, 210009 Nanjing, Jiangsu, China
*Correspondence: shenyang0924@sina.cn (Yang Shen)
Academic Editor: Michael H. Dahan
Clin. Exp. Obstet. Gynecol. 2022, 49(11), 252; https://doi.org/10.31083/j.ceog4911252
Submitted: 28 February 2021 | Revised: 14 April 2021 | Accepted: 13 May 2021 | Published: 14 November 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Clinically, postoperative pseudoaneurysm rupture following gynecological radical surgeries is a very rare but fatal complication. The occurrence of this fatal complication should arouse the concern of clinicians. Accurate diagnosis and immediate treatment is needed for this emergency condition. Case: A 56-year-old women had life-threatening bleeding caused by ruptured external iliac artery pseudoaneurysm five months after pelvic exenteration for recurrent cervical squamous carcinoma. Emergency left external iliac artery covered stent placement was successfully performed to control the massive bleeding. The patient recovered well and no complication was observed during a three month follow-up period. Conclusions: In some cases, endovascular techniques may be an attractive alternative.

Keywords
cervical cancer
external iliac artery
pseudoaneurysm
massive bleeding
postoperative complication
pelvic surgery
Figures
Fig. 1.
Share
Back to top