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Case Report
Diagnosis of bilateral pseudoaneurysms of the uterine artery after laparoscopic uterine myomectomy
1 BA, Medical student, Ross University School of Medicine, Miramar, FL, USA
2 MD, Resident physician, Obstetrics & Gynecology, Mount Sinai South Nassau, Oceanside, NY, USA
3 MD, Attending physician, Obstetrics & Gynecology, Mount Sinai South Nassau, Oceanside, NY, USA; Associate professor, Obstetrics & Gynecology, Ross University School of Medicine, USA
Address correspondence to:
Beth Bentley
MD, 1 Healthy Way, Oceanside, NY 11572,
USA
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Article ID: 100098Z08DN2021
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Namburi D, Bentley B, Nguyen PC, Dean R. Diagnosis of bilateral pseudoaneurysms of the uterine artery after laparoscopic uterine myomectomy. J Case Rep Images Obstet Gynecol 2021;7:100098Z08DN2021.ABSTRACT
Introduction: Pseudoaneurysms of the uterine artery (UAP) are a rare cause of post-surgical vaginal hemorrhage. A pseudoaneurysm of the uterine artery is an extra-luminal collection of blood with turbulent flow that communicates with its parent vessel via a defect through the arterial wall.
Case Report: We present the case of a 36-year-old nullipara woman presenting 22 days post-laparoscopic uterine myomectomy. Her diagnosis of bilateral UAP was able to be determined via transvaginal Doppler ultrasound and confirmed via computed tomography (CT) angiography. Bilateral uterine artery embolization (UAE) was performed resulting in resolution of her symptoms.
Conclusion: Uterine artery pseudoaneurysm is a potentially life-threatening cause of post-surgical hemorrhage and should be considered as part of the diagnostic work up of post-operative vaginal bleeding. Uterine artery embolization is a safe and effective way to manage pseudoaneurysms of the uterine artery.
Keywords: Post-operative complication, Post-operative hemorrhage, Pseudoaneurysm, Uterine artery
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Author Contributions
Deepa Namburi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Beth Bentley - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Phuong Chi Nguyen - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Robert Dean - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Deepa Namburi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
