Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy

被引：23

作者：

Takeda, Akihiro ^{[1
]}

Koyama, Kazuyuki ^{[2
]}

Imoto, Sanae ^{[1
]}

Mori, Masahiko ^{[1
]}

Sakai, Kotaro ^{[1
]}

Nakamura, Hiromi ^{[1
]}

机构：

[1] Gifu Prefectural Tajimi Hosp, Dept Obstet & Gynecol, Gifu 5078522, Japan

[2] Gifu Prefectural Tajimi Hosp, Dept Radiol, Gifu 5078522, Japan

来源：

FERTILITY AND STERILITY | 2009年 / 92卷 / 04期

关键词：

Uterine artery pseudoaneurysm; laparoscopic-assisted myomectomy; ultrasonography; computerized tomographic angiography; transcatheter arterial embolization; EMBOLIZATION; HEMORRHAGE;

D O I：

10.1016/j.fertnstert.2008.08.019

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To describe the diagnosis and management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. Design: Case reports. Setting: Departments of Obstetrics and Gynecology and Radiology at General Hospital. Patient(S): A 32-year-old woman and a 41-year-old woman each developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. Intervention(s): Uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy was diagnosed on ultrasonography, computerized tomographic angiography, and digital subtraction angiography, and treated by transcatheter arterial embolization. Main Outcome Measure(s): Uterine conservation. Result(S): Fertility preservation was achieved in both of these women who developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. Conclusion(s): Early diagnosis and endovascular management of uterine artery pseudoaneurysm after myomectomy are important to prevent life-threatening hemorrhage caused by pseudoaneurysmal rupture. (Fertil Steril (R) 2009;92:1487-91. (C) 2009 by American Society for Reproductive Medicine.)

引用

页码：1487 / 1491

页数：5

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