Uterine Artery Pseudoaneurysm in a Pregnant Patient with Retrocervical Endometriosis
| Autor: | Rakefet Yoeli, Vered H. Eisenberg, Ayala Zilberman, David Soriano, Roy Mashiach, Eyal Sivan, Gil Golan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Pregnancy Complications Cardiovascular Endometriosis Cervix Uteri Uterine Cervical Diseases 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Pregnancy medicine.artery medicine Humans cardiovascular diseases Embolization Hysterotomy Uterine artery 030219 obstetrics & reproductive medicine Vaginal delivery business.industry Obstetrics and Gynecology Uterine Artery Embolization medicine.disease Curettage Surgery Pregnancy Trimester First Uterine Artery Rectal Diseases 030220 oncology & carcinogenesis cardiovascular system Female business Aneurysm False |
| Zdroj: | Journal of Minimally Invasive Gynecology. 27:1209-1213 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2020.03.010 |
| Popis: | A pseudoaneurysm of the uterine artery or its branches is usually a result of vascular trauma during invasive procedures such as a cesarean section, vaginal delivery, myomectomy, hysterotomy, or dilatation and curettage. A uterine artery pseudoaneurysm rupture is a rare, yet life-threatening event. Deep infiltrating endometriosis usually involves a decrease in symptoms and imaging findings throughout pregnancy, with the notable exception of the phenomenon of decidualization. We present the case of a pregnant woman with a recent diagnosis of endometriosis, who conceived spontaneously and presented with disabling pain at 13 weeks' gestation. She was diagnosed with a left, huge (and rapidly growing) retrocervical endometriosis nodule encompassing a uterine artery pseudoaneurysm. Selective transarterial embolization was performed at 22 weeks' gestation owing to enlargement of the pseudoaneurysm sac, and the pseudoaneurysm was obliterated successfully. The patient was followed intensively throughout the pregnancy and the baby was delivered at term by cesarean section. After delivery, the nodule returned to the pregestational size. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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