Life-threatening bleeding after pelvic lymphadenectomy for cervical cancer: endovascular management of ruptured false aneurysm of the external iliac artery.
Late rupture of external iliac artery pseudo-aneurysm is an uncommon complication in patients who undergo extensive gynecologic radical surgeries. A 28-year-old woman with stage IB cervical cancer underwent pelvic lymphadenectomy and extrafascial trachelectomy. Two months after surgery, massive bleeding from ruptured pseudo-aneurysm of the external iliac artery occurred. Endovascular management with covered stent placement was feasible and safe to stop bleeding.
Department of Obstetrics and Gynecology, Sapienza University of Rome, Sant'Andrea Hospital, Roma, Italy. enzo.ricciardi@uniroma1.it
Enzo
E
Ricciardi
Giampaolo
G
Di Martino
Paolo
P
Maniglio
Mauro
M
Schimberni
Antonio
A
Frega
Marina
M
Jakimovska
Borut
B
Kobal
Massimo
M
Moscarini
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D017130:Angioplasty / Q000295:instrumentation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000473:pathology*; D008197:Lymph Node Excision; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy*; D012422:Rupture, Spontaneous / Q000209:etiology / Q000628:therapy; D015607:Stents; D002583:Uterine Cervical Neoplasms / Q000601:surgery*