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Conservative management of uterine artery pseudoaneurysm occurring during treatment of gestational trophoblastic disease: A case report
Author(s) -
Hayata Eijiro,
Komiyama Shinichi,
Nagashima Masaru,
Taniguchi Tomoko,
Morita Mineto
Publication year - 2020
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.14409
Subject(s) - medicine , gestational trophoblastic disease , pseudoaneurysm , uterine artery , uterine artery embolization , asymptomatic , surgery , gestational sac , obstetrics , rare disease , pregnancy , gestation , embolization , disease , aneurysm , genetics , biology
Uterine artery pseudoaneurysm (UAP) is a rare disease that causes genital bleeding during the postpartum period after cesarean section. Uterine artery embolization (UAE) is an effective procedure for UAP. UAP was unexpectedly encountered in a patient with gestational trophoblastic disease; however, this patient was conservatively managed without UAE. UAP can occur during treatment for gestational trophoblastic disease. Since asymptomatic UAP may spontaneously disappear, in the selection of conservative treatment, it is important to carefully monitor patients using transvaginal ultrasonography focusing on the size of the UAP and the speed of internal blood flow.