Uterine artery pseudoaneurysm in the setting of deep endometriosis: an uncommon cause of hemoperitoneum in pregnancy
This case report describes a pregnant woman with abdominal pain whose imaging revealed hemorrhage and endometriosis, with postpartum imaging confirming a uterine artery pseudoaneurysm.
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This case report describes a 37-year-old pregnant patient at 23–25 weeks with acute abdominal and pelvic pain, falling hemoglobin, and intraperitoneal hemorrhage. Using transabdominal ultrasound, limited noncontrast MRI, subsequent diagnostic laparoscopy with biopsy, and later postpartum contrast imaging, the authors found endometriomas and deep endometriosis with decidual reaction; a uterine artery pseudoaneurysm was only confirmed postpartum on MRI and CT angiography, appearing in the region of deep endometriosis. The paper speculates that decidualization and neovascularity in deep endometriosis led to the pseudoaneurysm, which in turn caused the hemoperitoneum, while noting key limitations of preoperative recognition and reliance on postpartum confirmation. This paper is centrally about endometriosis — specifically a uterine artery pseudoaneurysm arising in the setting of deep endometriosis during pregnancy and presenting as hemoperitoneum.
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References (9)
- A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes via openalex
- Decidualized Endometrioma During Pregnancy via openalex
- Endometriosis via openalex
- Endometriosis: Radiologic-Pathologic Correlation via openalex
- MR Imaging in Deep Pelvic Endometriosis: A Pictorial Essay via openalex
- Unusual complication of excision of pelvic endometriosis: pseudoaneurysm of the left uterine artery via openalex
- W4235658474 via openalex
- W4250870618 via openalex
- W4285719527 via openalex
Cited by (10)
- Fatal complications during pregnancy and delivery in women with profound endometriosis infiltrates: what is new in general clinical practice 2023
- MR Imaging of Endometriosis of the Adnexa 2022
- Uterine artery pseudoaneurysm in pregnant women with previous pelvic endometriosis 2021
- Uterine pseudoaneurysm on the basis of deep infiltrating endometriosis during pregnancy-a case report 2021
- Endometriosis and adverse pregnancy outcome 2021
- Obstetric Complications and Pregnancy Outcomes in Patients with Endometriosis 2021
- Endometriosis and Risk of Adverse Pregnancy Outcome: A Systematic Review and Meta-Analysis 2021
- Endometriosis in pregnancy 2020
- Uterine Artery Pseudoaneurysm in a Pregnant Patient with Retrocervical Endometriosis 2020
- Obstetrical complications and outcome in patients with endometriosis 2020
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- openalex
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- pubmed
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