Spontaneous Uterine Artery Pseudoaneurysm Rupture Following Cesarean Section: A Case Report  

作　　者：Ahmad Rezaee Azandaryani Mohamadmehdi Eftekharian Leili Ebrahimi 

机构地区：[1]Radiology Department, Hamedan University of Medical Sciences, Beasat Hospital, Hamedan, Iran [2]Cardiology Department, Alborz University of Medical Sciences, Shahid Rajaei Hospital, Karaj, Iran

出　　处：《Case Reports in Clinical Medicine》2017年第9期235-240,共6页临床医学病理报告（英文）

摘　　要：A pseudoaneurysm, also known as false aneurysm, is a collection of blood in perivascular soft tissue. Iatrogenic cause such as arterial catheterization and abdominopelvic surgery is one of the most common etiologies of pseudoaneurysm formation. Pseudoaneurysm in pelvic vessels is a complication of pelvic surgery or vessel catheterization. Cesarean section is the most common reported cause. In this article we introduced a 25 years old woman presented with abdominal pain and vaginal bleeding 1 week after Cesarean section. Imaging modalities confirmed the diagnosis of left uterine artery pseudoanurysm. Patient was admitted to treat by endovascular intervention. Several hours after admission blood pressure decreased and abdominal pain became more sever, ultra sound study showed evidence of free fluid in abdominopelvic cavity suggestive of pseudoaneurysm rupture. Emergence laparotomy surgery and hysterectomy were done due to active bleeding secondary to pseudoaneurysm rupture. Patient was discharged from hospital 5 days after surgery without any new complication.A pseudoaneurysm, also known as false aneurysm, is a collection of blood in perivascular soft tissue. Iatrogenic cause such as arterial catheterization and abdominopelvic surgery is one of the most common etiologies of pseudoaneurysm formation. Pseudoaneurysm in pelvic vessels is a complication of pelvic surgery or vessel catheterization. Cesarean section is the most common reported cause. In this article we introduced a 25 years old woman presented with abdominal pain and vaginal bleeding 1 week after Cesarean section. Imaging modalities confirmed the diagnosis of left uterine artery pseudoanurysm. Patient was admitted to treat by endovascular intervention. Several hours after admission blood pressure decreased and abdominal pain became more sever, ultra sound study showed evidence of free fluid in abdominopelvic cavity suggestive of pseudoaneurysm rupture. Emergence laparotomy surgery and hysterectomy were done due to active bleeding secondary to pseudoaneurysm rupture. Patient was discharged from hospital 5 days after surgery without any new complication.

关 键 词：PSEUDOANEURYSM ULTRASOUND CESAREAN Section 

分 类 号：R73[医药卫生—肿瘤]