title: Spontaneous cessation and recurrence of massive uterine bleeding can occur in uterine artery pseudoaneurysm after laparoscopically assisted myomectomy.
abstract: A uterine artery pseudoaneurysm (UAP) is a rare but life-threatening complication that can occur after gynecologic surgery. Herein, we present a case of a 38-year-old woman who presented with massive uterine bleeding one month after a laparoscopically assisted myomectomy. Although the bleeding ceased spontaneously, a massive hemorrhage reoccurred three weeks thereafter, and a ruptured perfusion sac at the right uterine artery was identified by computed tomography angiography and ultrasonography. The patient was treated with transfemoral catheter embolization of the right uterine artery, and complete resolution of the UAP was successfully obtained. Our case suggests that a UAP may be a cause of unexplained repetitive metrorrhagia after myomectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan. hooishi-tky@umin.ac.jp
authors.forename: Hajime
authors.initials: H
authors.lastname: Oishi
authors.forename: Osamu
authors.initials: O
authors.lastname: Wada-Hiraike
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Osuga
authors.forename: Tetsu
authors.initials: T
authors.lastname: Yano
authors.forename: Shiro
authors.initials: S
authors.lastname: Kozuma
authors.forename: Yuji
authors.initials: Y
authors.lastname: Taketani
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications / Q000503:physiopathology* / Q000601:surgery; D012008:Recurrence; D012075:Remission, Spontaneous; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055988:Uterine Artery / Q000473:pathology*; D055357:Uterine Artery Embolization; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000503:physiopathology; D063186:Uterine Myomectomy / Q000009:adverse effects*