Management of uterine artery pseudoaneurysm: Advanced ultrasonography imaging and laparoscopic surgery as an alternative method to angio-computed tomography and transarterial embolization

Michal Ciebiera, Aneta Slabuszewska-Jozwiak, Kornelia Zareba, Grzegorz Jakiel

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Uterine artery pseudoaneurysms (UAP) are rare but potentially life-threatening lesions. They may occur after traumatic deliveries, cesarean sections, and other interventions. We present a case of a 39-year-old woman with a UAP. The patient was accurately diagnosed using ultrasound imaging, with subsequent diagnostic hysteroscopy and laparoscopic excision of the UAP. In the present case, a ligation of the artery branch was performed to provide accurate hemostasis during UAP dissection. The vascular lesion was partially enucleated and removed, followed by recreation of the previous uterine shape. Power Doppler with HD flow and 3D ultrasound are accurate methods in the diagnosis of UAP. We are of the opinion that laparoscopic surgery can be on a par with transarterial embolization. During laparoscopy, the surgeon can either close the feeding vessel or remove the pathological tissue. In our opinion, this method solves the problem permanently and, after a successful case series with long-term follow-up, might be applied in other centers as well.

Original languageEnglish
Pages (from-to)106-109
Number of pages4
JournalWideochirurgia I Inne Techniki Maloinwazyjne
Volume12
Issue number1
DOIs
Publication statusPublished - Mar 2017
Externally publishedYes

Keywords

  • Laparoscopic surgery
  • Laparoscopy
  • Power Doppler
  • Ultrasonography
  • Uterine artery pseudoaneurysm

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynaecology
  • Gastroenterology
  • Urology

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