Abstract Uterine artery pseudoaneurysms (UAPs) are rare but potentially life-threatening complications that can occur after procedures such as intrauterine contraceptive device (IUCD) removal. This case report describes a 28-year-old woman who experienced severe vaginal bleeding and anemia following the removal of her IUCD, which had been in place for eight years, exceeding the recommended duration. Despite her previously regular menstrual cycles, she presented with significant bleeding, requiring multiple blood transfusions. Diagnostic imaging, including color and spectral Doppler ultrasound, revealed a 1.8x1.5 cm hypoechoic structure near the uterine fundus with a 'Yin-Yang' pattern, indicative of a pseudoaneurysm. Dynamic Contrast Enhanced Magnetic Resonance Angiography (MRA) confirmed the findings. The patient underwent transarterial embolization (TAE) under local anesthesia, which involved selective catheterization and embolization of the uterine artery supplying the pseudoaneurysm with a glue-lipiodol mixture. Post-procedure imaging confirmed the complete resolution of the pseudoaneurysm and cessation of bleeding. This case highlights the critical need for early diagnosis and management of UAPs, especially after IUCD removal. Transarterial embolization proved to be a safe and effective treatment, successfully controlling symptoms and preserving fertility. This report underscores the importance of prompt intervention and ongoing vigilance in managing such rare but significant complications.
International Journal of Medical Science and Innovative Research (IJMSIR) (2026) studied this question.