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Uterine pseudoaneurysm after abdominal myomectomy: A case report.

Authors
  • Rossard, Lauranne1
  • Body, Gilles2
  • Ouldamer, Lobna3
  • 1 Department of Gynecology. Centre Hospitalier Régional Universitaire de Tours. Hôpital Bretonneau. 2 Boulevard Tonnellé. 37044 Tours. France; François-Rabelais University, Tours. France. , (France)
  • 2 Department of Gynecology. Centre Hospitalier Régional Universitaire de Tours. Hôpital Bretonneau. 2 Boulevard Tonnellé. 37044 Tours. France; François-Rabelais University, Tours. France; INSERM Unit 1069, Tours. France. , (France)
  • 3 Department of Gynecology. Centre Hospitalier Régional Universitaire de Tours. Hôpital Bretonneau. 2 Boulevard Tonnellé. 37044 Tours. France; François-Rabelais University, Tours. France; INSERM Unit 1069, Tours. France. Electronic address: [email protected] , (France)
Type
Published Article
Journal
Journal of gynecology obstetrics and human reproduction
Publication Date
Jun 01, 2021
Volume
50
Issue
6
Pages
101877–101877
Identifiers
DOI: 10.1016/j.jogoh.2020.101877
PMID: 32717332
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We present the case of a young woman with abnormal vaginal bleeding two weeks after an abdominal myomectomy. The intervention was initially considered uncomplicated. Transvaginal sonography detected a pulsatile cystic area, just above the endometrium in the anterior wall of the lower uterine segment. Color Doppler analysis revealed the communication between an artery and a vein. Although, the ultrasound was completely sufficient for diagnosis, computed tomographic angiography was performed and confirmed the diagnosis of uterine pseudoanevrysm within the uterine myometrium. Selective arterial embolization was performed with complete recovery. Copyright © 2020 Elsevier Masson SAS. All rights reserved.

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