A case of spontaneous uterine artery pseudoaneurysm in a primigravid woman at 16 weeks gestation

© 2020 Published by Elsevier Inc. on behalf of University of Washington..

We report a case of a uterine artery pseudoaneurysm in a 29-year-old primigravid woman at 16 weeks gestation. The woman presented to the emergency room with lower left quadrant pain and vaginal bleeding. Ultrasound revealed a left adnexal mass consistent with a pseudoaneurysm. Percutaneous thrombin injection was chosen to avoid contrast and radiation risks to the fetus. Ultrasound demonstrated thrombosis of the pseudoaneurysm with no evidence of fetal distress. On postprocedure day 2, the patient presented again with similar complaints of lower quadrant pain and vaginal bleeding. The pseudoaneurysm was found to have recanalized and a decision was made to treat with computed tomography angiography and coil embolization. The procedure was successful, with angiography revealing an incidental branch of the pseudoaneurysm that was subsequently embolized.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Radiology case reports - 15(2020), 11 vom: 01. Nov., Seite 2319-2321

Sprache:

Englisch

Beteiligte Personen:

Wallach, William J [VerfasserIn]
Mohamed, Ahmed-Zayn [VerfasserIn]
Hoots, Glenn [VerfasserIn]
Lu, Samuel [VerfasserIn]
Zwiebel, Bruce [VerfasserIn]

Links:

Volltext

Themen:

Antepartum
Case Reports
Embolization
Primigravid
Pseudoaneurysm
Uterine artery pseudoaneurysm

Anmerkungen:

Date Revised 01.10.2020

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.radcr.2020.08.065

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315540257