Uterine Artery Pseudoaneurysm Requiring Embolization During Pregnancy

被引：19
|
作者：
Cornette, Jerome
van der Wilk, Eline
Janssen, Nina M.
van der Weiden, Robin M. F.
Jenninkens, Sjoerd F. M.
Pattynama, Peter
Duvekot, Johannes J.
机构：
[1] Erasmus MC, Univ Med Ctr, Dept Obstet & Gynecol, Div Obstet & Prenatal Med, NL-3015 GJ Rotterdam, Netherlands
[2] Erasmus MC, Univ Med Ctr, Dept Radiol, NL-3015 GJ Rotterdam, Netherlands
[3] St Fransiscus Hosp, Dept Obstet & Gynecol, Rotterdam, Netherlands
来源：
OBSTETRICS AND GYNECOLOGY | 2014年 / 123卷 / 02期
关键词：
PSEUDO-ANEURYSM; DIAGNOSIS;
D O I：
10.1097/AOG.0000000000000002
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
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.
引用
收藏
页码：453 / 456
页数：5
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