Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion

Baba, Yoshifumi; Matsubara, Shigeki; Kuwata, Tomoyuki; Ohkuchi, Akihide; Usui, Rie; Saruyama, Miyuki; Nakata, Manabu; Suzuki, Michitaka

doi:10.1007/s00404-014-3226-4

Cited by 57 publications

(70 citation statements)

References 20 publications

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“…The incidence of pseudoaneurysm in women with PPH is 3.06 % [21], but they can be present in the absence of PPH, underestimating their actual incidence [97]. Pseudoaneurysms are predominantly found after cesarean section (Fig.…”

Section: Pph and Pseudoaneurysmmentioning

confidence: 99%

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Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Soyer

Dohan

Dautry

et al. 2015

Cardiovasc Intervent Radiol

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Postpartum hemorrhage (PPH) is a potentially life-threatening condition, which needs multidisciplinary management. Uterine atony represents up to 80 % of all causes of PPH. Transcatheter arterial embolization (TAE) has now a well-established role in the management of severe PPH. TAE allows stopping the bleeding in 90 % of women with severe PHH, obviating surgery. Pledgets of gelatin sponge as torpedoes are commonly used for safe TAE, and coils, glue, and microspheres have been primarily used in specific situations such as arterial rupture, pseudoaneurysm, and arteriovenous fistula. TAE is a minimally invasive procedure with a low rate of complications, which preserves future fertility. Knowledge of causes of PPH, potential risks, and limitations of TAE is essential for a timely decision, optimizing TAE, preventing irreversible complications, avoiding hysterectomy, and ultimately preserving fertility.

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Section: Pph and Pseudoaneurysmmentioning

confidence: 99%

“…Pseudoaneurysms are predominantly found after cesarean section (Fig. 8) [98] and can result in primary or secondary PPH [97]. Three-dimensional CT angiography helps demonstrate precise location and feeding vessels of pseudoaneurysm and plane TAE [36].…”

Section: Pph and Pseudoaneurysmmentioning

confidence: 99%

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Soyer

Dohan

Dautry

et al. 2015

Cardiovasc Intervent Radiol

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“…However, in Baba et al's study, FA was diagnosed by systematic US examination in 55% of patients without post-partum hemorrhage, and another important data is that 50% of cases occured after non traumatic delivery. 2 In our case, the non-typical clinical presentation lacking exteriorized hemorrhage delayed the diagnosis, and the absence of an arterial phase on the first CT scan prevented us from detecting the FA. This is a common pitfall and following this case we now systematically perform a new CT with an arterial phase.…”

Section: Discussionmentioning

confidence: 81%

Post‐partum hemoperitoneum: Do not miss false aneurysm as a cause of bleeding

Goupil

Marcellin

Elahee

et al. 2015

J of Obstet and Gynaecol

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A 27-year-old woman underwent a first vaginal delivery at our institution. She returned four days after delivery, presenting with abdominal pain and an unexplained drop in her hemoglobin value, without external bleeding. The initial computed tomography abdominal scan revealed an isolated diffuse hemoperitoneum. A laparoscopy did not find the cause of bleeding. A second computed tomography scan, performed 15 days later, revealed hemoperitoneum associated with a false aneurysm of the right uterine artery. Treatment consisted of embolization of the uterine arteries, with clinical success. False aneurysms are a rare cause of intra-abdominal non-exteriorized bleeding in late post-partum hemorrhage.

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“…This suggests that many cases are silent and therefore remain undiagnosed. 1 The most common cause of uterine artery pseudoaneurysm is cesarean delivery, but it has been reported after dilatation and curettage, surgical abortion, laparoscopic and open myomectomies, conization of uterine cervix, and normal and instrumental vaginal delivery. 2 …”

mentioning

confidence: 99%

Severe Postcoital Bleeding From a Uterine Artery Pseudoaneurysm 4 Months After Cesarean Delivery

Chummun

Kroon²,

Flannelly³

et al. 2015

Obstetrics &Amp; Gynecology

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Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion

Abstract: We must be aware that UAP may not be so rare and it may be present in patients after non-traumatic deliveries/pregnancy termination and without postpartum or postabortal hemorrhage.

Cited by 57 publications

References 20 publications

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Post‐partum hemoperitoneum: Do not miss false aneurysm as a cause of bleeding

Severe Postcoital Bleeding From a Uterine Artery Pseudoaneurysm 4 Months After Cesarean Delivery

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