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Archives of Gynecology and Obstetrics

, Volume 290, Issue 3, pp 435–440 | Cite as

Uterine artery pseudoaneurysm: not a rare condition occurring after non-traumatic delivery or non-traumatic abortion

  • Yosuke Baba
  • Shigeki MatsubaraEmail author
  • Tomoyuki Kuwata
  • Akihide Ohkuchi
  • Rie Usui
  • Miyuki Saruyama
  • Manabu Nakata
  • Mitsuaki Suzuki
Maternal-Fetal Medicine

Abstract

Purpose

Uterine artery pseudoaneurysm (UAP) is considered a rare disorder after traumatic delivery or traumatic pregnancy termination such as cesarean section or dilatation and curettage, initially manifesting as genital hemorrhage. Our clinical impression contradicts these three assumptions; after traumatic delivery/termination, hemorrhage, and its rarity. Thus, we attempted to clarify these three issues.

Methods

We retrospectively analyzed 22 UAP cases treated at our institute over a 6-year period.

Results

Uterine artery pseudoaneurysm occurred in 2–3/1,000 deliveries. Of 22 cases, half occurred after non-traumatic deliveries or non-traumatic pregnancy termination. Fifty-five percent (12/22) showed no hemorrhage; ultrasound or color Doppler revealed UAP. Thus, half of UAP occurred after non-traumatic deliveries or non-traumatic pregnancy termination and showed no hemorrhage at the time of their diagnoses. All patients received transarterial embolization, which stopped blood flow into UAP or achieved hemostasis.

Conclusion

We must be aware that UAP may not be so rare and it may be present in patients after non-traumatic deliveries/pregnancy termination and without postpartum or postabortal hemorrhage.

Keywords

Cesarean section Postabortal hemorrhage Postpartum hemorrhage Pseudoaneurysm Uterine artery pseudoaneurysm 

Abbreviations

CS

Cesarean section

D&C

Dilatation and curettage

PPH

Postpartum hemorrhage

UAP

Uterine artery pseudoaneurysm

Notes

Conflict of interest

The authors declare that they have no conflict of interest regarding this article.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Yosuke Baba
    • 1
  • Shigeki Matsubara
    • 1
    Email author
  • Tomoyuki Kuwata
    • 1
  • Akihide Ohkuchi
    • 1
  • Rie Usui
    • 1
  • Miyuki Saruyama
    • 1
  • Manabu Nakata
    • 2
  • Mitsuaki Suzuki
    • 1
  1. 1.Department of Obstetrics and GynecologyJichi Medical UniversityShimotsukeJapan
  2. 2.Department of RadiologyJichi Medical UniversityShimotsukeJapan

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