Received 10 July 2007; received in revised form 24 July 2007; accepted 24 July 2007. published online 19 September 2007.
Objective
To study a case of a huge pseudoaneurysm of the uterine artery presenting with vaginal bleeding 2 years after termination of pregnancy in a 23-year-old woman.
Design
Retrospective clinical case.
Setting
Academic-based gynecology center of university hospital.
Patient(s)
A 23-year-old women, 2 years after termination of pregnancy, presenting with vaginal bleeding.
Intervention(s)
The diagnosis of uterine artery pseudoaneurysm was made by color and duplex Doppler ultrasonography and confirmed by arteriography. The angiographic study showed a pseudoaneurysm arising from the right uterine artery.
Main Outcome Measure(s)
Clinical response to treatment.
Result(s)
The uterine artery pseudoaneurysm was successfully treated by embolization. The vaginal bleeding subsided immediately after embolization. The patient was monitored monthly for 12 months, during which she had normal menstruation period and no further vaginal bleeding.
Conclusion(s)
Although likely not a common complication of abortion, the diagnosis should be considered in those patients with postabortive bleeding and cystic lesion in the pelvis on ultrasonography.
aDepartment of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University, Ilsan, Korea
bClinical Research Center, Ilsan Paik Hospital, Inje University, Ilsan, Korea
cDepartment of Radiology, Ilsan Paik Hospital, Inje University, Ilsan, Korea
Reprint requests: Young Ah Kim, M.D., Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University, 2240 Daewha-dong, Ilsanse-gu, Gyoyang-si, Gyunggi-do, 411–706, Korea (FAX: 82-31-910-7567).
Supported by a 2005 Inje University research grant, Pusan, Korea.
ABSTRACT