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...

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Main Authors: Liangcheng Wang, Akiyoshi Takagi, Atsuko Kikugawa, Ayaka Kawabe, Kenichi Kuromaki
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
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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.
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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
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