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A Rat Model of Mild Intrauterine Hypoperfusion with Microcoil Stenosis
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Uterine artery embolization during pregnancy.

Chris O'Sullivan1, Anastacio Saenz1,2

  • 1Texas A&M University College of Medicine, Temple, Texas.

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|May 6, 2022
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This case highlights a rare uterine artery pseudoaneurysm in pregnancy. Endovascular embolization successfully treated the condition, allowing the pregnancy to continue safely.

Keywords:
Pregnancypseudoaneurysmuterine artery embolization

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Area of Science:

  • Obstetrics and Gynecology
  • Vascular Surgery
  • Radiology

Background:

  • Uterine artery pseudoaneurysms (UAPs) are rare but life-threatening vascular malformations.
  • Rupture of UAPs can lead to severe hemorrhage, posing risks to both mother and fetus.
  • Pregnancy and postpartum periods are critical times for UAP diagnosis and management.

Observation:

  • A 27-year-old primigravid patient at 22 weeks gestation presented with hematuria and abdominal pain.
  • Imaging revealed a left uterine artery pseudoaneurysm, which increased in size over two days.
  • The patient had a history of placenta previa and recent salpingo-oophorectomy.

Findings:

  • Computed tomography confirmed the presence and growth of the uterine artery pseudoaneurysm.
  • Therapeutic endovascular embolization was performed to treat the pseudoaneurysm.
  • Successful embolization was achieved, preserving the uterine artery.

Implications:

  • Interventional treatment is crucial for managing uterine artery pseudoaneurysms during pregnancy.
  • Embolization can prevent rupture and allow for successful pregnancy continuation.
  • Management requires careful consideration of risks versus benefits for mother and fetus.