| Autor: |
Toshiyuki Seki, Yoshinobu Hamada, Teppei Ichikawa, Shin Onota, Manabu Nakata, Satoshi Takakura |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Gynecology and Minimally Invasive Therapy, Vol 6, Iss 1, Pp 25-27 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2213-3070 |
| DOI: |
10.1016/j.gmit.2016.04.002 |
| Popis: |
A uterine artery pseudoaneurysm (UAP) can occur after a traumatic event to the uterus, and cause massive bleeding. A uterine manipulator has been widely used for gynecologic laparoscopic surgery as basically an atraumatic instrument. We describe here a woman with a UAP caused by a uterine manipulator. She underwent laparoscopic ovarian cystectomy with a uterine manipulator due to torsion of a left ovarian cyst. Eleven days later, she came to our hospital with massive vaginal bleeding. Transvaginal Color Doppler ultrasound showed an intrauterine cystic mass with swirling blood flow, and three-dimensional arterial imaging from computed tomography revealed a UAP on the left side. Selective uterine artery angiography demonstrated a pseudoaneurysm in the distal portion of the left uterine artery, and embolization was performed successfully. A UAP should be taken into consideration in uterine bleeding after the use of a uterine manipulator. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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