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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

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

In Brief

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

Author Information

Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynecology, and the Department of Radiology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands; and the Department of Obstetrics and Gynecology, St Fransiscus Hospital, Rotterdam, The Netherlands.

Corresponding author: Jérôme Cornette, Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam, Room SK 4161, Dr Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands; e-mail: j.cornette@erasmusmc.nl.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2014 by The American College of Obstetricians and Gynecologists.