Pseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization.
BACKGROUND
Uterine artery pseudoaneurysm is a rare but serious complication of pelvic surgery. Cesarean delivery is the most common cause.


METHODS
We report a case of postpartum pelvic hemorrhage after cesarean delivery. A false aneurysm of the uterine artery was found by color Doppler ultrasonography and multislice spiral computed tomography. Arteriography confirmed the diagnosis. Superselective coil embolization of the aneurysm sac was achieved using the packing technique. The main uterine artery was preserved and the postprocedural course was uneventful.


CONCLUSIONS
Color Doppler ultrasonography and computed tomography were useful for the early diagnosis of uterine artery pseudoaneurysm. Primary transcatheter arterial embolization controlled bleeding without compromising reproductive potential.
Butori
Noémie
N
From the Department of Vascular and Interventional Radiology, and Department of Obstetrics and Gynecology, University of Dijon School of Medicine, Bocage Teaching Hospital, Dijon, France.
Coulange
Laurène
L
Filipuzzi
Laurence
L
Krausé
Denis
D
Loffroy
Romaric
R
D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000601:surgery*; D000792:Angiography / Q000379:methods; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D014463:Ultrasonography; D055357:Uterine Artery Embolization