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Uterine artery pseudoaneurysm requiring embolization during pregnancy
Jérôme Cornette1, Eline van der Wilk, Nina M Janssen
1Division 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.
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.
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