Intrauterine arterial pseudoaneurysm, a rare cause of per vaginal bleeding

Case Report
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Abstract

The current study evaluated two cases of pervaginal bleeding subsequent of intrauterine arterial pseudoaneurysm. Each case was complaining of intermittent attacks of heavy vaginal bleeding: one case with history of cesarean section and the other case after uterine curettage. Intrauterine arterial pseudoaneurysm can be caused by a traumatic injury to the vessel wall with subsequent formation of periarterial hematoma that liquefies forming periarterial bloody cyst, which communicates through the narrow neck with the arterial lumen. Transvaginal ultrasound aided with color duplex capability is an accurate tool for assessment.

Keywords

Uterine artery Pseudoaneurysm Postpartum hemorrhage Transvaginal ultrasound 

Sommario

Il presente studio descrive due casi di sanguinamento vaginale dovuto a pseudoaneurisma arterioso intrauterino. Entrambi i casi presentavano episodi intermittenti di abbondante sanguinamento vaginale; in un caso l’anamnesi era positiva per parto cesareo, nell’altro caso per revisione uterina. Lo pseudoaneurisma arterioso intra-uterino può essere causato da lesioni traumatiche alla parete dei vasi con successiva formazione di ematomi periarteriosi a rischio di rottura e sanguinamento. L’ecografia transvaginale con eco-color Doppler è uno strumento accurato per la valutazione di tale complicanza.

Notes

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict interest.

Ethical approval

All procedures performed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975 (revised version of 2000) (5).

Informed consent

All patients provided written informed consent to the enrollment in the study and to the publication of information that could potentially lead to their identification.

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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2018

Authors and Affiliations

  1. 1.Department of Radio Diagnosis, Faculty of MedicineFayoum UniversityFaiyumEgypt

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