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01-09-2014 | Maternal-Fetal Medicine

Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion

Authors: Yosuke Baba, Shigeki Matsubara, Tomoyuki Kuwata, Akihide Ohkuchi, Rie Usui, Miyuki Saruyama, Manabu Nakata, Mitsuaki Suzuki

Published in: Archives of Gynecology and Obstetrics | Issue 3/2014

Abstract

Purpose

Uterine artery pseudoaneurysm (UAP) is considered a rare disorder after traumatic delivery or traumatic pregnancy termination such as cesarean section or dilatation and curettage, initially manifesting as genital hemorrhage. Our clinical impression contradicts these three assumptions; after traumatic delivery/termination, hemorrhage, and its rarity. Thus, we attempted to clarify these three issues.

Methods

We retrospectively analyzed 22 UAP cases treated at our institute over a 6-year period.

Results

Uterine artery pseudoaneurysm occurred in 2–3/1,000 deliveries. Of 22 cases, half occurred after non-traumatic deliveries or non-traumatic pregnancy termination. Fifty-five percent (12/22) showed no hemorrhage; ultrasound or color Doppler revealed UAP. Thus, half of UAP occurred after non-traumatic deliveries or non-traumatic pregnancy termination and showed no hemorrhage at the time of their diagnoses. All patients received transarterial embolization, which stopped blood flow into UAP or achieved hemostasis.

Conclusion

We must be aware that UAP may not be so rare and it may be present in patients after non-traumatic deliveries/pregnancy termination and without postpartum or postabortal hemorrhage.

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Title: Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion
Authors: Yosuke Baba
Shigeki Matsubara
Tomoyuki Kuwata
Akihide Ohkuchi
Rie Usui
Miyuki Saruyama
Manabu Nakata
Mitsuaki Suzuki
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 3/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-014-3226-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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