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Case Report
Diagnosis of bilateral pseudoaneurysms of the uterine artery after laparoscopic uterine myomectomy
1 BA, Medical student, Ross University School of Medicine, Miramar, FL, USA
2 MD, Resident physician, Obstetrics & Gynecology, Mount Sinai South Nassau, Oceanside, NY, USA
3 MD, Attending physician, Obstetrics & Gynecology, Mount Sinai South Nassau, Oceanside, NY, USA; Associate professor, Obstetrics & Gynecology, Ross University School of Medicine, USA
Address correspondence to:
Beth Bentley
MD, 1 Healthy Way, Oceanside, NY 11572,
USA
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Article ID: 100098Z08DN2021
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Namburi D, Bentley B, Nguyen PC, Dean R. Diagnosis of bilateral pseudoaneurysms of the uterine artery after laparoscopic uterine myomectomy. J Case Rep Images Obstet Gynecol 2021;7:100098Z08DN2021.ABSTRACT
Introduction: Pseudoaneurysms of the uterine artery (UAP) are a rare cause of post-surgical vaginal hemorrhage. A pseudoaneurysm of the uterine artery is an extra-luminal collection of blood with turbulent flow that communicates with its parent vessel via a defect through the arterial wall.
Case Report: We present the case of a 36-year-old nullipara woman presenting 22 days post-laparoscopic uterine myomectomy. Her diagnosis of bilateral UAP was able to be determined via transvaginal Doppler ultrasound and confirmed via computed tomography (CT) angiography. Bilateral uterine artery embolization (UAE) was performed resulting in resolution of her symptoms.
Conclusion: Uterine artery pseudoaneurysm is a potentially life-threatening cause of post-surgical hemorrhage and should be considered as part of the diagnostic work up of post-operative vaginal bleeding. Uterine artery embolization is a safe and effective way to manage pseudoaneurysms of the uterine artery.
Keywords: Post-operative complication, Post-operative hemorrhage, Pseudoaneurysm, Uterine artery
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Author Contributions
Deepa Namburi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Beth Bentley - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Phuong Chi Nguyen - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Robert Dean - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Deepa Namburi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
