Embolization of a ruptured pseudo-aneurysm of the uterine artery at 26 weeks of gestation: Materno-fetal consequences; a case-report

作者：Maignien C^*; Marcellin L; Anselem O; Silvera S; Dousset B; Grange G; Goffinet F

来源：Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 2015, 44(7): 665-669.

DOI：10.1016/j.jgyn.2014.07.005

• Pseudo-aneurysm
• Uterine artery
• Pregnancy
• Embolization

Rupture of a uterine artery pseudo-aneurysm during pregnancy is a rare condition with potential life-threatening complications, and management should take into account the fetal impact of the therapeutic choice. We report the case of a 2 cm left uterine artery pseudo-aneurysm revealed by pelvic pain, in a 30-year-old pregnant woman at 26(+0) weeks of gestation (WG). Diagnosis was suspected at ultrasound scan, and confirmed with Magnetic Resonance angiography that showed signs of pre-rupture. An emergency selective embolization attempted in utero allowed the complete exclusion of the aneurysmal sac. The patient gave birth one month later to a girl at 31(+1) WG, initially managed by neonatologists, who is currently in good health.

• 出版日期2015-9