Conservative management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy and subsequent pregnancy outcome: case series and review of the literature

Takeda, Akihiro; Koike, Wataru; Imoto, Sanae; Nakamura, Hiromi

doi:10.1016/j.ejogrb.2014.09.020

Cited by 32 publications

(29 citation statements)

References 22 publications

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“…Some UAP spontaneously resolve, and thus do not require TAE. In a reported patient, post‐myomectomy UAP spontaneously resolved . Another report showed the possible spontaneous resolution of post‐cesarean UAP; however, this patient actually bled just after this suggested resolution, and TAE was eventually required to achieve hemostasis.…”

Section: Discussionmentioning

confidence: 88%

“…In a reported patient, post-myomectomy UAP spontaneously resolved. 4 Another report showed the possible spontaneous resolution of post-cesarean UAP; however, this patient actually bled just after this suggested resolution, and TAE was eventually required to achieve hemostasis. The authors claimed that bleeding may have occurred from another injured uterine artery and not UAP.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Spontaneous resolution of post‐delivery or post‐abortion uterine artery pseudoaneurysm: A report of three cases

Takahashi

Baba

Usui

et al. 2016

J of Obstet and Gynaecol

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Post-delivery/-abortion uterine artery pseudoaneurysm (UAP) sometimes causes life-threatening bleeding, requiring transarterial embolization (TAE). It is unclear whether some UAP resolve spontaneously. In three patients, UAP resolved spontaneously without TAE. Case 1 was after vacuum delivery with slight bleeding: at day 5 post-partum, a yin-yang sign on Color Doppler and an enhanced intrauterine sac-like structure were observed, leading to the diagnosis of UAP, which disappeared at 4 weeks post-partum. Case 2 was after vacuum delivery with manual placental removal and was asymptomatic: a hypoechoic intrauterine mass with a yin-yang sign were observed during a post-partum routine check-up and the intrauterine flow disappeared at 4 weeks post-partum. Case 3 was after dilatation and curettage in the first trimester with slight bleeding: UAP was detected at 4 weeks post-abortion, which disappeared at 6 weeks post-abortion. All three cases had a small UAP (diameter: 10-15 mm) and low-level or no symptoms. Some UAP may resolve spontaneously and, thus, may not require TAE.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 94%

Spontaneous resolution of post‐delivery or post‐abortion uterine artery pseudoaneurysm: A report of three cases

Takahashi

Baba

Usui

et al. 2016

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…However, we think that this structure with hypervascular stain shows the bundle of arterio-venous shunt-like structure (this becomes clear if you simply magnify the image) similarly as shown in three-dimensional computerized tomographic angiography (Fig. 2c), rather than classically defined sac-like structure observed in uterine artery pseudoaneurysm [3].…”

mentioning

confidence: 69%

Reply to “Retained placenta accreta with marked vascularity, uterine artery pseudoaneurysm, and placental polyp: overlapping clinical entities?”

Takeda

Koike

2017

Arch Gynecol Obstet

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“…A pseudoaneurysm is defined as a blood‐filled cavity communicating with the arterial lumen as a result of a deficiency of one or more layers of an arterial wall at the site of an iatrogenic arterial injury . Uterine artery pseudoaneurysm is a rare complication that can occur after various uterine manipulations and can cause potentially life‐threatening delayed uterine hemorrhage .…”

Section: Introductionmentioning

confidence: 99%

Delayed hemorrhage as a result of ruptured uterine artery pseudoaneurysm after transmyometrial oocyte retrieval: Management by transcatheter arterial embolization using N‐butyl‐2‐cyanoacrylate

Takeda

Koike

Hayashi

2017

J of Obstet and Gynaecol

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Uterine artery pseudoaneurysm is a rare but potentially life-threatening complication that can occur after various uterine manipulations. A 34-year-old nulliparous patient with a previous history of four consecutive miscarriages with unknown etiologies underwent transmyometrial oocyte retrieval as a result of malpositioning of the right ovary. Six days later, she experienced massive vaginal bleeding after a day of intermittent bleeding and was transferred to our hospital. At triage, continuous bleeding from the cervical canal was observed. Color Doppler ultrasonography and three-dimensional computerized tomographic angiography revealed a ruptured pseudoaneurysm originating from the peripheral branch of the right uterine artery in the lower uterine segment. It was successfully treated by transcatheter arterial embolization with N-butyl-2-cyanoacrylate. Transcatheter arterial embolization with N-butyl-2-cyanoacrylate is a feasible option for uterus-preserving management of late massive hemorrhage resulting from a ruptured uterine artery pseudoaneurysm after transmyometrial oocyte retrieval.

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Conservative management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy and subsequent pregnancy outcome: case series and review of the literature

Cited by 32 publications

References 22 publications

Spontaneous resolution of post‐delivery or post‐abortion uterine artery pseudoaneurysm: A report of three cases

Spontaneous resolution of post‐delivery or post‐abortion uterine artery pseudoaneurysm: A report of three cases

Reply to “Retained placenta accreta with marked vascularity, uterine artery pseudoaneurysm, and placental polyp: overlapping clinical entities?”

Delayed hemorrhage as a result of ruptured uterine artery pseudoaneurysm after transmyometrial oocyte retrieval: Management by transcatheter arterial embolization using N‐butyl‐2‐cyanoacrylate

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