Pseudoaneurysm of the uterine artery after laparoscopic myomectomy

Received 11 June 2008; received in revised form 30 August 2008; accepted 4 September 2008. published online 06 November 2008.

Objective

To describe a case of uterine pseudoaneurysm after laparoscopic myomectomy in a 36-year-old woman.

Design

Case report.

Setting

University hospital.

Patient(s)

A 36-year-old woman, 3 months after laparoscopic myomectomy, presenting with an intrauterine hypoechoic lesion measuring 5 cm in diameter.

Intervention(s)

Uterine pseudoaneurysm was diagnosed by color Doppler ultrasound.

Main Outcome Measure(s)

Complete resolution of the pseudoaneurysm.

Result(s)

Spontaneous thrombosis was observed in the pseudoaneurysm. At 6-month follow-up, the uterus appeared normal.

Conclusion(s)

Our case presents the possibility of delayed occurrence of uterine pseudoaneurysm after laparoscopic myomectomy.

Key Words: Pseudoaneurysm, laparoscopic myomectomy, delayed occurrence

Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan

Reprint requests: Satoshi Asai, M.D., Department of Obstetrics and Gynecology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan 160–8582 (FAX: 81-3-3226-1667).

S.A. has nothing to disclose. H.A. has nothing to disclose. M.F. has nothing to disclose. H.I. has nothing to disclose. M.T. has nothing to disclose. Y.Y. has nothing to disclose.

PII: S0015-0282(08)03908-3

doi:10.1016/j.fertnstert.2008.09.019

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