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Uterine artery pseudoaneurysm following cesarean section; a case report

Shahab Shayesteh1, Daniel Fadaei Fouladi1, Linda C Chu1

  • 1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Radiology Case Reports
|April 8, 2020
PubMed

Uterine artery pseudoaneurysm is an uncommon cause of vaginal bleeding that can occur after cesarean, hysterectomy, myomectomy, uncomplicated vaginal delivery, as well as gynecologic surgery. A 29-year-old woman (G4P1122) who underwent stat cesarean section and intrauterine device placement was found to have a 1.6-cm left uterine artery pseudoaneurysm on follow-up ultrasound. The patient presented to interventional radiology for angiography and uterine artery embolization to minimize the risk of spontaneous hemorrhage. This is the rare reported case, to our knowledge, of a uterine artery pseudoaneurysm associated with a recent cesarean section. Computed tomography angiogram, with multiplanar and maximal intensity projection images, can optimally display the pseudoaneurysm and the feeding vessel, which can provide valuable information for image-guided catheter embolization.

Keywords:
Case reportCesarean sectionComputed tomographyDoppler ultrasoundIntrauterine deviceUterine artery pseudoaneurysm

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