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Uterine artery pseudoaneurysm hidden behind septic abortion: Pseudoaneurysm without preceding procedure
Author(s) -
Matsubara Shigeki,
Nakata Manabu,
Baba Yosuke,
Suzuki Haruna,
Nakamura Hiroyasu,
Suzuki Mitsuaki
Publication year - 2014
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/jog.12173
Subject(s) - pseudoaneurysm , medicine , septic abortion , uterine artery , abortion , surgery , obstetrics , aneurysm , pregnancy , gestation , biology , genetics
Abstract Uterine artery pseudoaneurysm ( UAP ) can occur after cesarean section or traumatic delivery, usually manifesting as postpartum hemorrhage. Here we report a patient with UAP possibly caused by septic abortion. She had high fever and bleeding with positive urine pregnancy test. We diagnosed this condition as septic abortion. Ultrasound revealed an intrauterine echogenic mass and color D oppler revealed swirling blood flow within the mass. Contrast‐enhanced computed tomography showed a heterogeneously enhanced intrauterine mass. Selective internal iliac artery angiography revealed contrast medium within the mass immediately after medium injection. Bilateral uterine artery embolization was performed, after which medium no longer accumulated in the uterus, and hemostasis was achieved, confirming the diagnosis as UAP . Antibiotic treatment ameliorated the infection and the uterine content was expelled and absorbed. UAP can occur even without preceding procedures and may manifest abortive, and not postpartum, hemorrhage. UAP may be hidden behind septic abortion.