Cargando…
Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy
BACKGROUND: Uterine artery pseudoaneurysms are dangerous and can lead to severe hemorrhage. We report an uncommon cause of a giant pseudoaneurysm in a missed miscarriage in a woman with a cesarean scar pregnancy. CASE PRESENTATION: The patient was a 25-year-old Chinese woman with a missed miscarriag...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118154/ https://www.ncbi.nlm.nih.gov/pubmed/25070087 http://dx.doi.org/10.1186/1472-6874-14-89 |
_version_ | 1782328794018742272 |
---|---|
author | Mou, Yun Xu, Yuezhen Hu, Ying Jiang, Tianan |
author_facet | Mou, Yun Xu, Yuezhen Hu, Ying Jiang, Tianan |
author_sort | Mou, Yun |
collection | PubMed |
description | BACKGROUND: Uterine artery pseudoaneurysms are dangerous and can lead to severe hemorrhage. We report an uncommon cause of a giant pseudoaneurysm in a missed miscarriage in a woman with a cesarean scar pregnancy. CASE PRESENTATION: The patient was a 25-year-old Chinese woman with a missed miscarriage in a cesarean scar pregnancy. Curettage was performed under ultrasound monitoring. A uterine artery pseudoaneurysm measuring 71 × 44 × 39 mm was detected the next day by Doppler ultrasonography. While waiting for admittance to an advanced institution to undergo embolization treatment, the pseudoaneurysm ruptured spontaneously. The subsequent severe hemorrhage necessitated hysterectomy. CONCLUSION: A delay in diagnosis of uterine artery pseudoaneurysms may result from a long period between the curettage and follow-up examination. Ultrasound and Doppler ultrasonography should be performed repeatedly at short intervals to rule out them, especially in cesarean scar pregnancies. For a giant uterine artery pseudoaneurysm, interventional embolization might be the first treatment choice. If time allows, intra-operative ligation of the feeding vessels should be attempted before any decision to perform a hysterectomy is made. However, hysterectomy remains a possibility when severe bleeding occurs. |
format | Online Article Text |
id | pubmed-4118154 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41181542014-08-02 Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy Mou, Yun Xu, Yuezhen Hu, Ying Jiang, Tianan BMC Womens Health Case Report BACKGROUND: Uterine artery pseudoaneurysms are dangerous and can lead to severe hemorrhage. We report an uncommon cause of a giant pseudoaneurysm in a missed miscarriage in a woman with a cesarean scar pregnancy. CASE PRESENTATION: The patient was a 25-year-old Chinese woman with a missed miscarriage in a cesarean scar pregnancy. Curettage was performed under ultrasound monitoring. A uterine artery pseudoaneurysm measuring 71 × 44 × 39 mm was detected the next day by Doppler ultrasonography. While waiting for admittance to an advanced institution to undergo embolization treatment, the pseudoaneurysm ruptured spontaneously. The subsequent severe hemorrhage necessitated hysterectomy. CONCLUSION: A delay in diagnosis of uterine artery pseudoaneurysms may result from a long period between the curettage and follow-up examination. Ultrasound and Doppler ultrasonography should be performed repeatedly at short intervals to rule out them, especially in cesarean scar pregnancies. For a giant uterine artery pseudoaneurysm, interventional embolization might be the first treatment choice. If time allows, intra-operative ligation of the feeding vessels should be attempted before any decision to perform a hysterectomy is made. However, hysterectomy remains a possibility when severe bleeding occurs. BioMed Central 2014-07-29 /pmc/articles/PMC4118154/ /pubmed/25070087 http://dx.doi.org/10.1186/1472-6874-14-89 Text en Copyright © 2014 Mou et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Mou, Yun Xu, Yuezhen Hu, Ying Jiang, Tianan Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title | Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title_full | Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title_fullStr | Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title_full_unstemmed | Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title_short | Giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
title_sort | giant uterine artery pseudoaneurysm after a missed miscarriage termination in a cesarean scar pregnancy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118154/ https://www.ncbi.nlm.nih.gov/pubmed/25070087 http://dx.doi.org/10.1186/1472-6874-14-89 |
work_keys_str_mv | AT mouyun giantuterinearterypseudoaneurysmafteramissedmiscarriageterminationinacesareanscarpregnancy AT xuyuezhen giantuterinearterypseudoaneurysmafteramissedmiscarriageterminationinacesareanscarpregnancy AT huying giantuterinearterypseudoaneurysmafteramissedmiscarriageterminationinacesareanscarpregnancy AT jiangtianan giantuterinearterypseudoaneurysmafteramissedmiscarriageterminationinacesareanscarpregnancy |