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Obstetrics & Gynecology 1999;94:827-830
© 1999 by The American College of Obstetricians and Gynecologists
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GYNECOLOGY

PSEUDOANEURYSM OF THE UTERINE ARTERY

Alison E. Zimon, Joseph K. Hwang, MD, David L. Principe, MD and Ray O. Bahado-Singh, MD

From the Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.

Address reprint requests to: Ray O. Bahado-Singh, MD, Department of Obstetrics and Gynecology, Yale University School of Medicine, PO Box 208063, New Haven, CT 06520-8063, E-mail: ray.bahado-singh{at}yale.edu

Background: Preexisting aneurysms in several arterial locations have been associated with an increased risk of rupture in pregnancy. We report a rare case of uterine artery pseudoaneurysm that presented during the puerperium.

Case: A 31-year-old woman had moderate suprapubic pain on postpartum day 8. The diagnosis of uterine artery aneurysm was made by duplex Doppler sonography and confirmed by arteriography. It was successfully treated by embolization of the left uterine artery.

Conclusion: In a rare case of pseudoaneurysm of the uterine artery, the complications of pregnancy-related aneurysmal rupture were prevented by prompt sonographic diagnosis and embolization therapy.




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Copyright © 1999 by the American College of Obstetricians and Gynecologists.