Background: A uterine pseudoaneurysm is an extremely rare arterial wall defect with life-threatening complications such as retroperitoneal hemorrhage. Case: A case of uterine artery pseudoaneurysm in a 38-year-old woman with menorrhagia, and its surgical management, are reported. Results: Exploratory laparotomy was performed. The pseudoaneurysm was identified, ligated, and excised, followed by total abdominal hysterectomy with bilateral salpingo-oophorectomy. The patient's postoperative course was uneventful. Conclusions: Despite arterial embolization being an effective and safe treatment, individual circumstances can change the management of uterine pseudoaneurysms. (J GYNECOL SURG 29:336)
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References
1.
LeeWK, RocheCJ, DuddalwarVA, BuckleyAR, MorrisDC. Pseudoaneurysm of the uterine artery after abdominal hysterectomy: Radiologic diagnosis and management. Am J Obstet Gynecol, 2001; 185:1269.
2.
ZimonAE, HwangJK, PrincipeDL, Bahado-SinghRO. Pseudoaneurysm of the uterine artery. Obstet Gynecol, 1999; 94:827.
3.
LaubachM, DelahayeT, Van TussenbroekF, DebingE, De CatteL, FoulonWJ. Uterine artery pseudoaneurysm: diagnosis and therapy during pregnancy. J Perinat Med, 2000; 28:321.
4.
LangerJE, CopeC. Ultrasonographic diagnosis of uterine artery pseudoaneurysm after hysterectomy. J Ultrasound Med, 1999; 18:711.
5.
HidarS, BibiM, AtallahR, EssaklyK, BouzakouraC, HidarM. Pseudoaneurysm of the uterine artery: A propos of 1 case. J Gynecol Obstet Biol Reprod (Paris), 2000; 29:621.
