Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm
Uterine artery embolization is the most common treatment for uterine vascular abnormalities. Herein, we report the successful use of dilation and evacuation as a treatment for uterine artery pseudoaneurysm. A 36-year-old woman complained of vaginal bleeding after an uncomplicated vaginal delivery. U...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2016-12-01
|
Series: | Journal of Medical Ultrasound |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S092964411630056X |
_version_ | 1819114825107636224 |
---|---|
author | Liangcheng Wang Akiyoshi Takagi Atsuko Kikugawa Ayaka Kawabe Kenichi Kuromaki |
author_facet | Liangcheng Wang Akiyoshi Takagi Atsuko Kikugawa Ayaka Kawabe Kenichi Kuromaki |
author_sort | Liangcheng Wang |
collection | DOAJ |
description | Uterine artery embolization is the most common treatment for uterine vascular abnormalities. Herein, we report the successful use of dilation and evacuation as a treatment for uterine artery pseudoaneurysm. A 36-year-old woman complained of vaginal bleeding after an uncomplicated vaginal delivery. Ultrasonography showed a 12.8-mm anechoic area inside the uterus. Color Doppler revealed a to-and-fro sign, indicating an arteriovenous malformation. A blood test showed a low level of human chorionic gonadotropin. Therefore, a diagnosis of early uterine artery pseudoaneurysm following spontaneous delivery was suspected. Under monitoring with transabdominal color Doppler sonography, intrauterine balloon tamponade induced complete disappearance of abnormal blood flow. With bleeding determined to be under control with balloon tamponade, dilation and evacuation was performed. The patient had a favorable postoperative course. |
first_indexed | 2024-12-22T04:51:27Z |
format | Article |
id | doaj.art-5e43af8cef2f4a2393cf38c6f447bf16 |
institution | Directory Open Access Journal |
issn | 0929-6441 |
language | English |
last_indexed | 2024-12-22T04:51:27Z |
publishDate | 2016-12-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Medical Ultrasound |
spelling | doaj.art-5e43af8cef2f4a2393cf38c6f447bf162022-12-21T18:38:29ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412016-12-0124415415810.1016/j.jmu.2016.08.002Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery PseudoaneurysmLiangcheng WangAkiyoshi TakagiAtsuko KikugawaAyaka KawabeKenichi KuromakiUterine artery embolization is the most common treatment for uterine vascular abnormalities. Herein, we report the successful use of dilation and evacuation as a treatment for uterine artery pseudoaneurysm. A 36-year-old woman complained of vaginal bleeding after an uncomplicated vaginal delivery. Ultrasonography showed a 12.8-mm anechoic area inside the uterus. Color Doppler revealed a to-and-fro sign, indicating an arteriovenous malformation. A blood test showed a low level of human chorionic gonadotropin. Therefore, a diagnosis of early uterine artery pseudoaneurysm following spontaneous delivery was suspected. Under monitoring with transabdominal color Doppler sonography, intrauterine balloon tamponade induced complete disappearance of abnormal blood flow. With bleeding determined to be under control with balloon tamponade, dilation and evacuation was performed. The patient had a favorable postoperative course.http://www.sciencedirect.com/science/article/pii/S092964411630056Xdilation and evacuationintrauterine balloon tamponade testuterine artery pseudoaneurysmuterine vascular abnormality |
spellingShingle | Liangcheng Wang Akiyoshi Takagi Atsuko Kikugawa Ayaka Kawabe Kenichi Kuromaki Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm Journal of Medical Ultrasound dilation and evacuation intrauterine balloon tamponade test uterine artery pseudoaneurysm uterine vascular abnormality |
title | Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm |
title_full | Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm |
title_fullStr | Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm |
title_full_unstemmed | Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm |
title_short | Use of Intrauterine Balloon Tamponade Test to Determine the Feasibility of Dilation and Evacuation as a Treatment for Early Uterine Artery Pseudoaneurysm |
title_sort | use of intrauterine balloon tamponade test to determine the feasibility of dilation and evacuation as a treatment for early uterine artery pseudoaneurysm |
topic | dilation and evacuation intrauterine balloon tamponade test uterine artery pseudoaneurysm uterine vascular abnormality |
url | http://www.sciencedirect.com/science/article/pii/S092964411630056X |
work_keys_str_mv | AT liangchengwang useofintrauterineballoontamponadetesttodeterminethefeasibilityofdilationandevacuationasatreatmentforearlyuterinearterypseudoaneurysm AT akiyoshitakagi useofintrauterineballoontamponadetesttodeterminethefeasibilityofdilationandevacuationasatreatmentforearlyuterinearterypseudoaneurysm AT atsukokikugawa useofintrauterineballoontamponadetesttodeterminethefeasibilityofdilationandevacuationasatreatmentforearlyuterinearterypseudoaneurysm AT ayakakawabe useofintrauterineballoontamponadetesttodeterminethefeasibilityofdilationandevacuationasatreatmentforearlyuterinearterypseudoaneurysm AT kenichikuromaki useofintrauterineballoontamponadetesttodeterminethefeasibilityofdilationandevacuationasatreatmentforearlyuterinearterypseudoaneurysm |