Postpartum hemoperitoneum – A rare case of uterine artery pseudoaneurysm rupture after uncomplicated vaginal delivery

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-09-01 DOI:10.1016/j.tjog.2023.12.005

Szu-Yun Niu , Ming-Cheng Liu , Ya-Fang Chen , Ming-Jer Chen , Jui-Chun Chang

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引用次数: 0

Abstract

Objective

Our aim is to demonstrate a rare cause of hemoperitoneum without vaginal bleeding resulting from the rupture of a uterine artery pseudoaneurysm after uncomplicated vaginal delivery.

Case report

A 39-year-old woman who had experienced a normal vaginal delivery 8 days previously to being seen in our hospital, was presented to the emergency room with hypovolemic shock. Computed tomography angiography (CTA) showed massive internal bleeding and a ruptured pseudoaneurysm arising from the left uterine artery. The patient was successfully treated through transcatheter arterial embolization (TAE).

Conclusion

A pseudoaneurysm is a rare disease which can occur during an uncomplicated vaginal delivery. The clinical presentation can vary from asymptomatic, vaginal bleeding or hemoperitoneum. The diagnosis can be made by using Doppler sonography, CTA or Magnetic Resonance Imaging. The use of TAE is now the most common treatment option and possesses a high success rate.

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产后腹腔积血--无并发症阴道分娩后子宫动脉假性动脉瘤破裂的罕见病例

病例报告一位 39 岁的产妇在 8 天前经历了一次正常的阴道分娩，因低血容量休克被送入急诊室。计算机断层扫描血管造影术（CTA）显示患者大量内出血，左侧子宫动脉假性动脉瘤破裂。假性动脉瘤是一种罕见疾病，可在无并发症的阴道分娩过程中发生。假性动脉瘤是一种罕见的疾病，可发生在无并发症的阴道分娩过程中，临床表现多种多样，包括无症状、阴道出血或腹腔积血。可通过多普勒超声、CTA 或磁共振成像进行诊断。TAE 是目前最常见的治疗方法，成功率很高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464