Differential diagnosis of uterine vascular anomalies:Uterine pseudoaneurysm as a cause of massive hemorrhage  

作　　者：Teresa Gastañaga-Holguera Isabel Campo Gesto Laura Gómez-Irwin Marta Calvo Urrutia 

机构地区：[1]Department of Obstetrics and Gynecology,San Carlos Clinical Hospital,Madrid 28040,Spain [2]Department of Gastroenterology,University Hospital of Cruces,Baracaldo 48903,Bizkaia,Spain

出　　处：《World Journal of Clinical Cases》2025年第9期60-64,共5页世界临床病例杂志（英文）

摘　　要：In this article,we comment on the paper by Kakinuma et al published recently.We focus specifically on the diagnosis of uterine pseudoaneurysm,but we also review other uterine vascular anomalies that may be the cause of life-threating hemorrhage and the different causes of uterine pseudoaneurysms.Uterine artery pseudoaneurysm is a complication of both surgical gynecological and nontraumatic procedures.Massive hemorrhage is the consequence of the rupture of the pseudoaneurysm.Uterine artery pseudoaneurysm can develop after obstetric or gynecological procedures,being the most frequent after cesarean or vaginal deliveries,curettage and even during pregnancy.However,there are several cases described unrelated to pregnancy,such as after conization,hysteroscopic surgery or laparoscopic myomectomy.Hemorrhage is the clinical manifestation and it can be life-threatening so suspicion of this vascular lesion is essential for early diagnosis and treatment.However,there are other uterine vascular anomalies that may be the cause of severe hemorrhage,which must be taken into account in the differential diagnosis.Computed tomography angiography and embolization is supposed to be the first therapeutic option in most of them.

关 键 词：Uterine artery pseudoaneurysm Vascular anomaly Uterine vascular malformation Massive hemorrhage Postpartum hemorrhage ANGIOGRAPHY Uterine embolization Transarterial embolization 

分 类 号：R713.4[医药卫生—妇产科学]