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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.
Obstetrics and Gynecology
|January 14, 2014
Summary
Uterine artery pseudoaneurysm in pregnancy is dangerous. Selective uterine artery embolization effectively treated a pregnant patient, stopping bleeding and allowing the pregnancy to continue safely.
Area of Science:
- Interventional Radiology
- Maternal-Fetal Medicine
- Vascular Surgery
Background:
- Uterine artery pseudoaneurysm (UAP) is a rare but life-threatening complication during pregnancy.
- Diagnosis is typically confirmed by characteristic findings on ultrasound and MRI.
- Prompt management is crucial for maternal and fetal well-being.
Observation:
- A 37-year-old pregnant woman at 27 weeks gestation presented with significant painless vaginal hemorrhage.
- Imaging revealed a left-sided uterine artery pseudoaneurysm.
- The patient underwent selective uterine artery embolization to occlude the pseudoaneurysm.
Findings:
- The embolization procedure successfully halted the vaginal bleeding.
- The pregnancy was able to continue to term following the intervention.
- Post-procedure, fetoplacental perfusion was maintained.
Implications:
- Endovascular embolization is a safe and effective treatment for uterine artery pseudoaneurysm during pregnancy.
- This minimally invasive approach can preserve the pregnancy and prevent further hemorrhage.
- Uterine artery embolization offers a viable alternative to surgical management in this critical obstetric scenario.
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