Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature

Abstract Background Uterine Artery Pseudoaneurysm is a rare cause of pelvic pain and haemorrhage in pregnancy. It should be considered in the differential diagnosis of pregnant women presenting with abdominal pain and is readily diagnosed by colour Doppler ultrasound. If left untreated, they may ble...

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Main Authors: Lilian Ugwumadu, Kevin Hayes, Anna-Maria Belli, Susan Heenan, Ian Loftus
Format: Article
Language:English
Published: SpringerOpen 2018-11-01
Series:CVIR Endovascular
Subjects:
Online Access:http://link.springer.com/article/10.1186/s42155-018-0040-2
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author Lilian Ugwumadu
Kevin Hayes
Anna-Maria Belli
Susan Heenan
Ian Loftus
author_facet Lilian Ugwumadu
Kevin Hayes
Anna-Maria Belli
Susan Heenan
Ian Loftus
author_sort Lilian Ugwumadu
collection DOAJ
description Abstract Background Uterine Artery Pseudoaneurysm is a rare cause of pelvic pain and haemorrhage in pregnancy. It should be considered in the differential diagnosis of pregnant women presenting with abdominal pain and is readily diagnosed by colour Doppler ultrasound. If left untreated, they may bleed into the peritoneum causing severe pain and haemorrhagic shock and may progress to maternal and fetal death. Case presentation We describe a case of a woman presenting with severe right iliac fossa pain at 26 weeks gestation attributed to a right uterine artery pseudoaneurysm diagnosed on duplex ultrasound which was successfully treated by uterine artery embolization at 28 weeks gestation without complication to the fetus. Conclusion Uterine artery embolization appears to be a safe and effective method to treat pseudoaneurysm during pregnancy without compromising uteroplacental perfusion.
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spelling doaj.art-dcf2381c40804e2eb75cc726ab2d815e2022-12-21T22:51:02ZengSpringerOpenCVIR Endovascular2520-89342018-11-01111410.1186/s42155-018-0040-2Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literatureLilian Ugwumadu0Kevin Hayes1Anna-Maria Belli2Susan Heenan3Ian Loftus4Department of Obstetrics & Gynaecology, St George’s University Hospitals NHS Foundation TrustDepartment of Obstetrics & Gynaecology, St George’s University Hospitals NHS Foundation TrustDepartment of Radiology, St George’s University Hospitals NHS Foundation TrustDepartment of Radiology, St George’s University Hospitals NHS Foundation TrustDepartment of Vascular Surgery, St George’s University Hospitals NHS Foundation TrustAbstract Background Uterine Artery Pseudoaneurysm is a rare cause of pelvic pain and haemorrhage in pregnancy. It should be considered in the differential diagnosis of pregnant women presenting with abdominal pain and is readily diagnosed by colour Doppler ultrasound. If left untreated, they may bleed into the peritoneum causing severe pain and haemorrhagic shock and may progress to maternal and fetal death. Case presentation We describe a case of a woman presenting with severe right iliac fossa pain at 26 weeks gestation attributed to a right uterine artery pseudoaneurysm diagnosed on duplex ultrasound which was successfully treated by uterine artery embolization at 28 weeks gestation without complication to the fetus. Conclusion Uterine artery embolization appears to be a safe and effective method to treat pseudoaneurysm during pregnancy without compromising uteroplacental perfusion.http://link.springer.com/article/10.1186/s42155-018-0040-2PseudoaneurysmUterine artery PseudoaneurysmEmbolization
spellingShingle Lilian Ugwumadu
Kevin Hayes
Anna-Maria Belli
Susan Heenan
Ian Loftus
Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
CVIR Endovascular
Pseudoaneurysm
Uterine artery Pseudoaneurysm
Embolization
title Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
title_full Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
title_fullStr Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
title_full_unstemmed Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
title_short Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature
title_sort uterine artery pseudoaneurysm requiring embolization in pregnancy a case report and review of the literature
topic Pseudoaneurysm
Uterine artery Pseudoaneurysm
Embolization
url http://link.springer.com/article/10.1186/s42155-018-0040-2
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