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An Unruptured True Aneurysm of the Uterine Artery during Pregnancy

The antenatal diagnosis of an unruptured true aneurysm of the uterine artery is extremely rare and has never been reported, whereas pseudoaneurysms associated with previous trauma or cesarean section have been reported several times. True aneurysms occur when the artery or vessel weakens and bulges,...

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Autores principales: Tantipalakorn, Charuwan, Luewan, Suchaya, Sirilert, Sirinart, Tongsong, Theera
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600217/
https://www.ncbi.nlm.nih.gov/pubmed/36292147
http://dx.doi.org/10.3390/diagnostics12102459
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author Tantipalakorn, Charuwan
Luewan, Suchaya
Sirilert, Sirinart
Tongsong, Theera
author_facet Tantipalakorn, Charuwan
Luewan, Suchaya
Sirilert, Sirinart
Tongsong, Theera
author_sort Tantipalakorn, Charuwan
collection PubMed
description The antenatal diagnosis of an unruptured true aneurysm of the uterine artery is extremely rare and has never been reported, whereas pseudoaneurysms associated with previous trauma or cesarean section have been reported several times. True aneurysms occur when the artery or vessel weakens and bulges, sometimes forming a blood-filled sac. Nearly all cases of pelvic true aneurysms involved ovarian arteries which ruptured during the peripartum period. The case presented here is unique in terms of being an unruptured true aneurysm of the uterine artery with a first diagnosis during pregnancy at 32 weeks of gestation and the spontaneous development of thrombosis in the aneurysm in late pregnancy, documented at 37 weeks of gestation. The diagnosis of a true aneurysm of the uterine artery was based on, (1) a demonstration of the cystic mass located in proximity to the lower segment of the uterus with ultrasound characteristics of arterial flow in the mass, and (2) the occurrence in a woman who had no history of trauma or surgery in the pelvis. The finding during cesarean section confirmed the prenatal sonographic finding. The pregnancy ended with successful outcomes.
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spelling pubmed-96002172022-10-27 An Unruptured True Aneurysm of the Uterine Artery during Pregnancy Tantipalakorn, Charuwan Luewan, Suchaya Sirilert, Sirinart Tongsong, Theera Diagnostics (Basel) Interesting Images The antenatal diagnosis of an unruptured true aneurysm of the uterine artery is extremely rare and has never been reported, whereas pseudoaneurysms associated with previous trauma or cesarean section have been reported several times. True aneurysms occur when the artery or vessel weakens and bulges, sometimes forming a blood-filled sac. Nearly all cases of pelvic true aneurysms involved ovarian arteries which ruptured during the peripartum period. The case presented here is unique in terms of being an unruptured true aneurysm of the uterine artery with a first diagnosis during pregnancy at 32 weeks of gestation and the spontaneous development of thrombosis in the aneurysm in late pregnancy, documented at 37 weeks of gestation. The diagnosis of a true aneurysm of the uterine artery was based on, (1) a demonstration of the cystic mass located in proximity to the lower segment of the uterus with ultrasound characteristics of arterial flow in the mass, and (2) the occurrence in a woman who had no history of trauma or surgery in the pelvis. The finding during cesarean section confirmed the prenatal sonographic finding. The pregnancy ended with successful outcomes. MDPI 2022-10-11 /pmc/articles/PMC9600217/ /pubmed/36292147 http://dx.doi.org/10.3390/diagnostics12102459 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Tantipalakorn, Charuwan
Luewan, Suchaya
Sirilert, Sirinart
Tongsong, Theera
An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title_full An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title_fullStr An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title_full_unstemmed An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title_short An Unruptured True Aneurysm of the Uterine Artery during Pregnancy
title_sort unruptured true aneurysm of the uterine artery during pregnancy
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600217/
https://www.ncbi.nlm.nih.gov/pubmed/36292147
http://dx.doi.org/10.3390/diagnostics12102459
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