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Diagnosing and treating postpartum uterine artery pseudoaneurysm
Kathlyn Parr1, Anisha Hadimohd2, Adrianne Browning1
1Department of Obstetrics and Gynecology, Baylor University Medical Center, Dallas, Texas.
Proceedings (Baylor University. Medical Center)
|April 25, 2018
Summary
Uterine artery pseudoaneurysm (UAP) is a rare cause of postpartum bleeding. This case study shows successful treatment of a 19-year-old woman’s recurrent hemorrhage with uterine artery embolization.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Interventional Radiology
Background:
- Postpartum hemorrhage (PPH) remains a significant cause of maternal morbidity.
- Uterine artery pseudoaneurysm (UAP) is an uncommon but potentially life-threatening cause of PPH.
- Delayed diagnosis and management can lead to severe complications.
Purpose of the Study:
- To present a case of a young woman with recurrent PPH due to UAP.
- To highlight the diagnostic utility of transvaginal sonography in UAP.
- To demonstrate the efficacy of uterine artery embolization in managing UAP.
Main Methods:
- A 19-year-old woman presented with recurrent heavy vaginal bleeding 6 weeks postpartum.
- Transvaginal sonography was utilized for diagnosis, identifying a UAP.
- Selective uterine artery embolization was performed as the primary treatment modality.
Main Results:
- The diagnostic imaging successfully identified the uterine artery pseudoaneurysm.
- The uterine artery embolization procedure was technically successful.
- The patient experienced complete resolution of her symptoms and bleeding post-embolization.
Conclusions:
- Uterine artery pseudoaneurysm is a critical differential diagnosis in postpartum hemorrhage.
- Transvaginal sonography is a valuable tool for diagnosing UAP.
- Uterine artery embolization is an effective and minimally invasive treatment for UAP, leading to symptom resolution.
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