Uterine artery pseudoaneurysm following cesarean section; a case report

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

doi:10.1016/j.radcr.2020.02.032

Uterine artery pseudoaneurysm following cesarean section; a case report

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

School of Medicine

Research output: Contribution to journal › Article › peer-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 language	English (US)
Pages (from-to)	633-636
Number of pages	4
Journal	Radiology Case Reports
Volume	15
Issue number	5
DOIs	https://doi.org/10.1016/j.radcr.2020.02.032
State	Published - 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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title = "Uterine artery pseudoaneurysm following cesarean section; a case report",

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.",

keywords = "Case report, Cesarean section, Computed tomography, Doppler ultrasound, Intrauterine device, Uterine artery pseudoaneurysm",

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year = "2020",

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AU - Shayesteh, Shahab

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AU - Chu, Linda C.

AU - Fishman, Elliot K.

PY - 2020/5

Y1 - 2020/5

N2 - 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.

AB - 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.

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