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

C Maignien; L Marcellin; O Anselem; S Silvera; B Dousset; G Grangé; F Goffinet

doi:10.1016/j.jgyn.2014.07.005

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

J Gynecol Obstet Biol Reprod (Paris). 2015 Sep;44(7):665-9. doi: 10.1016/j.jgyn.2014.07.005. Epub 2014 Sep 6.

[Article in French]

Authors

C Maignien¹, L Marcellin², O Anselem², S Silvera³, B Dousset⁴, G Grangé², F Goffinet²

Affiliations

¹ Maternité Port-Royal, hôpital Cochin Broca, Hôtel-Dieu, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France; DHU risques et grossesse, université Paris Descartes, Sorbonne Paris-Cité, 12, rue de l'École-de-Médecine, 75006 Paris, France. Electronic address: chloemaignien@gmail.com.
² Maternité Port-Royal, hôpital Cochin Broca, Hôtel-Dieu, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France; DHU risques et grossesse, université Paris Descartes, Sorbonne Paris-Cité, 12, rue de l'École-de-Médecine, 75006 Paris, France.
³ Service de radiologie, hôpital Cochin Broca, Hôtel-Dieu, Assistance publique-Hôpitaux de Paris, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France; DHU risques et grossesse, université Paris Descartes, Sorbonne Paris-Cité, 12, rue de l'École-de-Médecine, 75006 Paris, France.
⁴ Service de chirurgie digestive, hépatobiliaire et endocrinienne, hôpital Cochin Broca, Hôtel-Dieu, Assistance publique-Hôpitaux de Paris, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.

PMID: 25201019
DOI: 10.1016/j.jgyn.2014.07.005

Abstract

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 2cm 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.

Keywords: Artère utérine; Embolisation; Embolization; Grossesse; Pregnancy; Pseudo-aneurysm; Pseudo-anévrisme; Uterine artery.

Publication types

Case Reports
English Abstract

MeSH terms

Adult
Aneurysm, False / diagnosis
Aneurysm, False / therapy*
Female
Gestational Age
Humans
Pregnancy
Pregnancy Complications / diagnosis
Pregnancy Complications / therapy*
Uterine Artery / pathology*
Uterine Artery Embolization / methods*