Key result
Selective uterine artery embolization successfully treated a uterine artery pseudoaneurysm at 28 weeks gestation without compromising uteroplacental perfusion, resulting in a healthy term delivery.
Why the study?
Uterine artery pseudoaneurysm is a rare cause of pelvic pain and hemorrhage in pregnancy that, if untreated, can bleed into the peritoneum and lead to maternal and fetal death.
Case Report (n=1)
No
Selective uterine artery embolization appears to be a safe and effective treatment for uterine artery pseudoaneurysm during pregnancy, avoiding high-risk surgery and allowing for term delivery.
May offer a nonsurgical option for uterine pseudoaneurysm in pregnancy; leaves open confirmation in prospective studies.
BACKGROUND: Uterine Artery Pseudoaneurysm is a rare cause of pelvic pain and haemorrhage in pregnancy. It should be considered in the differential diagnosis of pregnant women presenting with abdominal pain and is readily diagnosed by colour Doppler ultrasound. If left untreated, they may bleed into the peritoneum causing severe pain and haemorrhagic shock and may progress to maternal and fetal death. CASE PRESENTATION: We describe a case of a woman presenting with severe right iliac fossa pain at 26 weeks gestation attributed to a right uterine artery pseudoaneurysm diagnosed on duplex ultrasound which was successfully treated by uterine artery embolization at 28 weeks gestation without complication to the fetus. CONCLUSION: Uterine artery embolization appears to be a safe and effective method to treat pseudoaneurysm during pregnancy without compromising uteroplacental perfusion.
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Ugwumadu et al. (2018) conducted a case report in Uterine artery pseudoaneurysm (n=1). Uterine artery embolization was evaluated on Treatment success and fetal outcome. Selective uterine artery embolization successfully treated a uterine artery pseudoaneurysm at 28 weeks gestation without compromising uteroplacental perfusion, resulting in a healthy term delivery.
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