title: Adenomyomectomy, curettage, and then uterine artery pseudoaneurysm occupying the entire uterine cavity.
abstract: Uterine artery pseudoaneurysm can occur after cesarean section or traumatic delivery, usually manifesting as postpartum hemorrhage. Pregnant women after adenomyomectomy sometimes suffer some adverse events, among which uterine rupture has been widely acknowledged. We describe a post-abortive woman who had uterine artery pseudoaneurysm occupying the entire uterine cavity. She underwent adenomyomectomy and became pregnant. She experienced a missed abortion and underwent evacuation and curettage, which caused bleeding. Several days later, ultrasound revealed an intrauterine mass with marked blood flow. Angiography revealed the un-ruptured left uterine artery pseudoaneurysm, with arterial embolization stopping the flow within the pseudoaneurysm. Adenomyomectomy with subsequent curettage was considered to have caused the pseudoaneurysm. We must be cautious that pseudoaneurysm may occur in post-abortive women after adenomyomectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan. matsushi@jichi.ac.jp
authors.forename: Shigeki
authors.initials: S
authors.lastname: Matsubara
authors.forename: Rie
authors.initials: R
authors.lastname: Usui
authors.forename: Tomomi
authors.initials: T
authors.lastname: Sato
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kuwata
authors.forename: Akihide
authors.initials: A
authors.lastname: Ohkuchi
authors.forename: Manabu
authors.initials: M
authors.lastname: Nakata
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D018194:Adenomyoma / Q000601:surgery*; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D004107:Dilatation and Curettage / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D011247:Pregnancy; D012720:Severity of Illness Index; D013927:Thrombosis / Q000209:etiology; D016896:Treatment Outcome; D014463:Ultrasonography; D055988:Uterine Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D055357:Uterine Artery Embolization; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D063186:Uterine Myomectomy / Q000009:adverse effects*; D014594:Uterine Neoplasms / Q000601:surgery*