Temporary bilateral uterine artery occlusion in the control of hemorrhage: A case report and review of literature.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

World Journal of Clinical Cases Pub Date : 2025-06-26 DOI:10.12998/wjcc.v13.i18.101309

Yu-Liang Song, Chun-Feng Wang

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引用次数: 0

Abstract

Background: Intramural pregnancy is rare, with an unclear etiology and pathophysiology. Surgical, medical, and expectant management options are available for this condition. However, most reported cases are managed surgically. Despite the risks of massive intraoperative bleeding and acute and long-term complications, uterine artery embolization is often selected. Temporary occlusion of the bilateral uterine arteries during surgery is associated with fewer complications.

Case summary: We reported the case of a patient who was diagnosed with intramural pregnancy approximately one month after medical abortion. We performed laparoscopic resection with hysteroscopy. Since the lesion had abundant blood flow, we temporarily blocked the bilateral uterine arteries to prevent massive intraoperative bleeding. The surgical process went smoothly. The postoperative course was uneventful.

Conclusion: Temporary occlusion of the bilateral uterine arteries in the treatment of intramural pregnancy may prevent excessive uterine bleeding during surgery.

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暂时性双侧子宫动脉闭塞术控制出血1例并文献复习。

背景：宫内妊娠是罕见的，病因和病理生理不清楚。手术，医疗和预期的管理方案可用于这种情况。然而，大多数报告的病例是通过手术处理的。尽管存在术中大量出血和急远期并发症的风险，子宫动脉栓塞术还是经常被选择。手术中双侧子宫动脉的暂时性闭塞并发症较少。病例总结：我们报告了一例患者在药物流产后大约一个月被诊断为宫内妊娠。我们在宫腔镜下进行腹腔镜切除。由于病变血流丰富，我们暂时阻断双侧子宫动脉，以防止术中大量出血。手术过程很顺利。术后过程平淡无奇。结论：暂时阻断双侧子宫动脉治疗宫内妊娠可防止术中子宫出血过多。

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

World Journal of Clinical Cases Medicine-General Medicine

自引率

0.00%

发文量

3384

期刊介绍： The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.