Treatment of uterine artery (pseudo)aneurysm during pregnancy: A case report and review of the literature.
Eur J Obstet Gynecol Reprod Biol
; 299: 240-247, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38905967
ABSTRACT
PURPOSE:
To describe the management of uterine artery (pseudo)aneurysm, ruptured or unruptured, during pregnancy.METHODS:
After reporting a case about this rare pathology, a review of the literature was performed. The search was applied to PubMed databases.RESULTS:
A total of eighteen articles met the inclusion criteria. Eighteen patients were reported. Eight (44.4 %) patients didn't have prior medical or surgical history. Fifteen (83.3 %) beneficed interventional radiology method during pregnancy including two cases (13.3 %) with repeated embolization because of recanalization of the (pseudo)aneurysm. Nine patients (50 %) beneficed a planned cesarean between 34 and 39 weeks of gestation. One (15.8 %) patient was diagnosed with fetal death before treatment of the uterine artery (pseudo)aneurysm.CONCLUSION:
The decision to proceed to the treatment of the (pseudo)aneurysm must consider several factors, associated or not with a good fetal vitality and a hemodynamically stable patient. Embolization appears to be the method of choice. Mode of delivery and term remain not clear and contraindication of expulsive efforts in case of a uterine artery (pseudo)aneurysm merit further investigations.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aneurysm, False
/
Uterine Artery Embolization
/
Uterine Artery
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Eur J Obstet Gynecol Reprod Biol
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: