Uterine Artery Pseudoaneurysm in a Pregnant Patient with Retrocervical Endometriosis

Ayala Zilberman, A. Zilberman, Zilberman A, Eisenberg V, Vered H. Eisenberg, Vered Eisenberg, Rakefet Yoeli, Yoeli R, David Soriano, Soriano D, Eyal Sivan, Sivan E, Golan G, Gil Golan, G. Golan, Roy Mashiach, Mashiach R
Journal of Minimally Invasive Gynecology · 2020 · vol. 27(5) , pp. 1209–1213 · doi:10.1016/j.jmig.2020.03.010 · PMID:32259651 · W3014263313
article OA: closed CC0 ⤵ 6 in-corpus citations
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This case report describes a pregnant patient who developed a uterine artery pseudoaneurysm secondary to retrocervical endometriosis.

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Abstract

A pseudoaneurysm of the uterine artery or its branches is usually a result of vascular trauma during invasive procedures such as a cesarean section, vaginal delivery, myomectomy, hysterotomy, or dilatation and curettage. A uterine artery pseudoaneurysm rupture is a rare, yet life-threatening event. Deep infiltrating endometriosis usually involves a decrease in symptoms and imaging findings throughout pregnancy, with the notable exception of the phenomenon of decidualization. We present the case of a pregnant woman with a recent diagnosis of endometriosis, who conceived spontaneously and presented with disabling pain at 13 weeks' gestation. She was diagnosed with a left, huge (and rapidly growing) retrocervical endometriosis nodule encompassing a uterine artery pseudoaneurysm. Selective transarterial embolization was performed at 22 weeks' gestation owing to enlargement of the pseudoaneurysm sac, and the pseudoaneurysm was obliterated successfully. The patient was followed intensively throughout the pregnancy and the baby was delivered at term by cesarean section. After delivery, the nodule returned to the pregestational size.

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Condition tags

endometriosis

MeSH descriptors

Aneurysm, False Aneurysm, False Endometriosis Rectal Diseases Uterine Artery Uterine Cervical Diseases Adult Aneurysm, False Aneurysm, False Cervix Uteri Cervix Uteri Endometriosis Endometriosis Endometriosis Female Humans Pregnancy Pregnancy Complications, Cardiovascular Pregnancy Complications, Cardiovascular Pregnancy Complications, Cardiovascular

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (23)

Cited by (6)

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License: CC0 · commercial use OK