Uterine artery pseudoaneurysm following cesarean section; a case report

Shahab Shayesteh, Daniel Fadaei Fouladi, Linda C. Chu, Elliot K. Fishman

Research output: Contribution to journalArticlepeer-review

Abstract

Uterine artery pseudoaneurysm is an uncommon cause of vaginal bleeding that can occur after cesarean, hysterectomy, myomectomy, uncomplicated vaginal delivery, as well as gynecologic surgery. A 29-year-old woman (G4P1122) who underwent stat cesarean section and intrauterine device placement was found to have a 1.6-cm left uterine artery pseudoaneurysm on follow-up ultrasound. The patient presented to interventional radiology for angiography and uterine artery embolization to minimize the risk of spontaneous hemorrhage. This is the rare reported case, to our knowledge, of a uterine artery pseudoaneurysm associated with a recent cesarean section. Computed tomography angiogram, with multiplanar and maximal intensity projection images, can optimally display the pseudoaneurysm and the feeding vessel, which can provide valuable information for image-guided catheter embolization.

Original languageEnglish (US)
Pages (from-to)633-636
Number of pages4
JournalRadiology Case Reports
Volume15
Issue number5
DOIs
StatePublished - May 2020

Keywords

  • Case report
  • Cesarean section
  • Computed tomography
  • Doppler ultrasound
  • Intrauterine device
  • Uterine artery pseudoaneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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