Asymptomatic uterine artery pseudoaneurysm after cesarean section.
Uterine artery pseudoaneurysm is a rare but important complication of cesarean section (CS). If treated inadequately, it may cause profuse life-threatening postpartum hemorrhage. We report an asymptomatic postpartum woman with uterine artery pseudoaneurysm after CS. We also provide a review of published reports of pseudoaneurysm after CS. A 31-year-old Japanese woman underwent CS, in which the uterine incision was extended laterally. Routine postoperative evaluation with vaginal ultrasound on postpartum day 6 revealed a parauterine mass with a maximum diameter of 49 mm with swirling flow. Selective angiography confirmed this mass as a uterine artery pseudoaneurysm. Uterine artery embolization was performed with success. Uterine artery pseudoaneurysm should be listed as a differential diagnosis of pelvic mass after CS.
Kuwata
Tomoyuki
T
Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
Matsubara
Shigeki
S
Kaneko
Yuka
Y
Izumi
Akio
A
Nakata
Manabu
M
Suzuki
Mitsuaki
M
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016896:Treatment Outcome; D014463:Ultrasonography; D055988:Uterine Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D055357:Uterine Artery Embolization