title: Hemorrhage after myomectomy resulting from pseudoaneurysm of the uterine artery.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitario Dr Peset, Valencia, Spain.
authors.forename: María A
authors.initials: MA
authors.lastname: Higón
authors.forename: Santiago
authors.initials: S
authors.lastname: Domingo
authors.forename: Celia
authors.initials: C
authors.lastname: Bauset
authors.forename: José
authors.initials: J
authors.lastname: Martínez
authors.forename: Antonio
authors.initials: A
authors.lastname: Pellicer
mesh_terms: 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