Hemorrhage after myomectomy resulting from pseudoaneurysm of the uterine artery.
OBJECTIVE
To study a case of uterine artery hemorrhage after laparotomic myomectomy in a 40-year-old woman.


METHODS
Retrospective clinical case.


METHODS
Tertiary clinical care university hospital.


METHODS
A 40-year-old woman, 1 month after a laparotomic myomectomy presenting sudden metrorrhagia.


METHODS
The diagnosis of uterine artery pseudoaneurysm was made by color and duplex Doppler ultrasonography (CDDUS) and confirmed by arteriography. The angiographic study showed an intramyometrial uterine artery pseudoaneurysm.


METHODS
Clinical response to treatment.


RESULTS
The uterine artery pseudoaneurysm was successfully treated by embolization. The patient's recovery was extraordinary, and now she has normal menses.


CONCLUSIONS
CDDUS is a useful imaging technique in the diagnosis of arterial pseodoaneurysms. Transcatheter arterial embolization is a good alternative for management. It has the advantage that it is a less invasive technique and also is able to preserve the reproductive function.
Higón
María A
MA
Department of Obstetrics and Gynecology, Hospital Universitario Dr Peset, Valencia, Spain.
Domingo
Santiago
S
Bauset
Celia
C
Martínez
José
J
Pellicer
Antonio
A
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology*; D018618:Echocardiography, Doppler, Color / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology*; D014599:Uterus / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries