Uterine Artery Pseudoaneurysm Requiring Embolization During Pregnancy

J.M.J. Cornette, Eline Wilk, NM Janssen, RMF van der Weiden, SFM Jenninkens, Peter Pattynama, J.J. Duvekot

Research output: Contribution to journalArticleAcademicpeer-review

20 Citations (Scopus)

Abstract

BACKGROUND: Uterine artery pseudoaneurysm has a pathognomonic ultrasound appearance. Its occurrence in pregnancy is life-threatening for both mother and fetus. We present an illustrative case and discuss management with selective uterine artery embolization during pregnancy. CASE: A 37-year-old pregnant woman presented with profuse painless vaginal blood loss at a gestational age of 27 weeks. Ultrasonography and magnetic resonance imaging indicated a left-sided uterine artery pseudoaneurysm. Selective embolization of the pseudoaneurysm was performed. Blood loss ceased allowing the pregnancy to continue until term. CONCLUSION: Endovascular embolization is a feasible therapeutic option for a uterine artery pseudoaneurysm during pregnancy without compromising fetoplacental perfusion.
Original languageUndefined/Unknown
Pages (from-to)453-456
Number of pages4
JournalObstetrics and Gynecology
Volume123
Issue number2
DOIs
Publication statusPublished - 2014

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