Uterine artery pseudoaneurysm after cesarean section: case report and literature review

Journal of Minimally Invasive Gynecology
Wataru IsonoYuji Taketani

Abstract

Uterine artery pseudoaneurysm (UAP) occurs rarely and can develop after various gynecologic or obstetric procedures. The delayed diagnosis of this disease often results in life-threatening hemorrhage. Herein is described a case of UAP after cesarean section. The patient visited our emergency outpatient department 99 days after cesarean section because of abnormal uterine bleeding, which was diagnosed as UAP using color Doppler ultrasonography and contrast medium-enhanced computed tomography. Selective transcatheter arterial embolization was performed to resolve the lesion without complications. We also conducted a review to identify the demographic etiology of UAP. A PubMed search yielded 57 cases reported in the English literature. The most frequent cause of UAP was cesarean section, which accounted for 47.4% of all cases. The mean interval between the incident and the symptoms was approximately 2 weeks, regardless of cause. At analysis of 17 cases diagnosed within a day, it became evident that the definitive diagnosis was made at angiography (41.2%), computed tomography (29.4%), or color Doppler ultrasonography (29.4%). Almost all cases (94.1%) were conservatively treated with transcatheter uterine artery embolization. Consid...Continue Reading

References

Nov 5, 1999·Obstetrics and Gynecology·A E ZimonR O Bahado-Singh
Oct 14, 2000·Journal of Perinatal Medicine·M LaubachW Foulon
Jul 4, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·G DescarguesE Clavier
Nov 22, 2001·American Journal of Obstetrics and Gynecology·W K LeeD C Morris
Jan 18, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jung Hyeok Kwon, Gi Sung Kim
Jan 18, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Pýnar PolatAkýn Levent
Jul 17, 2003·The Journal of Emergency Medicine·David A Wald
Aug 27, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Brian C CooperWendy F Hansen
Mar 15, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·O Ashokkumar, A Rodin
Aug 4, 2006·Australasian Radiology·T MammenA Kekre
Sep 1, 2006·Journal of Clinical Ultrasound : JCU·Daniel Eric Eason, Ramesh A Tank
Feb 6, 2007·Fertility and Sterility·María A HigónAntonio Pellicer
Aug 28, 2007·Journal of Clinical Ultrasound : JCU·Cemil GürsesTimur Sindel
Sep 21, 2007·Fertility and Sterility·Young Ah KimEung Soo Lee
Sep 28, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M KovoG Malinger
Mar 4, 2008·Journal of Minimally Invasive Gynecology·Akihiro TakedaHiromi Nakamura
Nov 8, 2008·Fertility and Sterility·Satoshi AsaiYasunori Yoshimura
Apr 29, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jérôme DelottePatrick Chevallier
Apr 30, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C AlboniL F Orsini
Jul 25, 2009·Emergency Medicine Journal : EMJ·S SamadR Marwood
Dec 22, 2009·Journal of Clinical Ultrasound : JCU·Katja MarnelaPertti Kirkinen

❮ Previous
Next ❯

Citations

Apr 3, 2014·Archives of Gynecology and Obstetrics·Yosuke BabaMitsuaki Suzuki
May 7, 2011·Journal of Minimally Invasive Gynecology·Shigeki Matsubara
Apr 5, 2013·The Journal of Obstetrics and Gynaecology Research·Shigeki MatsubaraManabu Nakata
Oct 15, 2013·The Journal of Obstetrics and Gynaecology Research·Shigeki MatsubaraMitsuaki Suzuki
Sep 10, 2014·Journal de gynécologie, obstétrique et biologie de la reproduction·C MaignienF Goffinet
Apr 25, 2017·The Journal of Obstetrics and Gynaecology Research·Liza JohannessonMartin K Oehler
Jul 2, 2015·Obstetrics and Gynecology·Kushal ChummunDavid Brophy
Nov 21, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A LudwinI Ludwin
Dec 20, 2016·The Journal of Obstetrics and Gynaecology Research·Ross ParkerCharles Kitley
Apr 25, 2018·Proceedings·Kathlyn ParrJason Moss
Apr 1, 2017·Gynecology and Minimally Invasive Therapy·Luca BoiGiuseppe Mansi Montenegro
Jan 1, 2017·Gynecology and Minimally Invasive Therapy·Toshiyuki SekiSatoshi Takakura
Oct 15, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Youhei TsunodaToshiyuki Takeshita
May 10, 2020·BMJ Case Reports·Jared T RoecknerJudette M Louis
Aug 8, 2020·The Journal of Obstetrics and Gynaecology Research·Eijiro HayataMineto Morita
Jul 3, 2018·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Chengshi ChenJi Hoon Shin
Mar 2, 2021·Case Reports in Women's Health·Danielle GlassmanAshima Singla
Apr 11, 2021·BMC Pregnancy and Childbirth·Tibor Andrea ZwimpferIrene Hösli
Jul 16, 2021·The Journal of Obstetrics and Gynaecology Research·Akane NishiJo Kitawaki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.