Obstetrics & Gynecology

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0000000000000002
Case Report

Uterine Artery Pseudoaneurysm Requiring Embolization During Pregnancy

Cornette, Jérôme MD, PhD; van der Wilk, Eline MD, PhD; Janssen, Nina M. MD; van der Weiden, Robin M. F. MD, PhD; Jenninkens, Sjoerd F. M. MD, PhD; Pattynama, Peter MD, PhD; Duvekot, Johannes J. MD, PhD

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Abstract

BACKGROUND: Uterine artery pseudoaneurysm has a pathognomonic ultrasound appearance. Its occurrence in pregnancy is life-threatening for both mother and fetus. We present an illustrative case and discuss management with selective uterine artery embolization during pregnancy.

CASE: A 37-year-old pregnant woman presented with profuse painless vaginal blood loss at a gestational age of 27 weeks. Ultrasonography and magnetic resonance imaging indicated a left-sided uterine artery pseudoaneurysm. Selective embolization of the pseudoaneurysm was performed. Blood loss ceased allowing the pregnancy to continue until term.

CONCLUSION: Endovascular embolization is a feasible therapeutic option for a uterine artery pseudoaneurysm during pregnancy without compromising fetoplacental perfusion.

© 2014 by The American College of Obstetricians and Gynecologists.

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