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Spontaneous cessation and recurrence of massive uterine bleeding can occur in uterine artery pseudoaneurysm after laparoscopically assisted myomectomy
Author(s) -
Oishi Hajime,
WadaHiraike Osamu,
Osuga Yutaka,
Yano Tetsu,
Kozuma Shiro,
Taketani Yuji
Publication year - 2013
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2012.01993.x
Subject(s) - medicine , uterine artery , pseudoaneurysm , uterine artery embolization , surgery , complication , uterine bleeding , angiography , embolization , radiology , pregnancy , genetics , gestation , biology
A uterine artery pseudoaneurysm (UAP) is a rare but life‐threatening complication that can occur after gynecologic surgery. Herein, we present a case of a 38‐year‐old woman who presented with massive uterine bleeding one month after a laparoscopically assisted myomectomy. Although the bleeding ceased spontaneously, a massive hemorrhage reoccurred three weeks thereafter, and a ruptured perfusion sac at the right uterine artery was identified by computed tomography angiography and ultrasonography. The patient was treated with transfemoral catheter embolization of the right uterine artery, and complete resolution of the UAP was successfully obtained. Our case suggests that a UAP may be a cause of unexplained repetitive metrorrhagia after myomectomy.