A case of treatment by embolization of uterine arterial pseudoaneurysm following laparoscopic supracervical hysterectomy.

Lee, Mi Ra; Kim, Min Jeong; Jeon, Hye Ji; Choi, Sl A; Kim, Yun Sook; Bae, Dong Han; Goo, Dong Erk

doi:2012.55.2.137

Obstet Gynecol Sci > Volume 55(2); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(2):137-141.
DOI: https://doi.org/10.5468/KJOG.2012.55.2.137 Published online February 1, 2012.

A case of treatment by embolization of uterine arterial pseudoaneurysm following laparoscopic supracervical hysterectomy.

Mi Ra Lee, Min Jeong Kim, Hye Ji Jeon, Sl A Choi, Yun Sook Kim, Dong Han Bae, Dong Erk Goo

¹Department of Obstetrics and Gynecology, Soonchunhyang University Chunan Hospital, University of Soonchunhyang College of Medicine, Chunan, Korea. drsook@schmc.ac.kr
²Department of Interventional Radiology, Soonchunhyang University Chunan Hospital, University of Soonchunhyang College of Medicine, Chunan, Korea.

Abstract

Laparoscopic supracervical hysterectomy is relatively new and minimally invasive surgery. The advantages of this operation are conserving the cervix. But it has complications like intraoperative bleeding, ureteral injury, bowel perforation and postoperative hematoma. Pseudoaneurysm can be acquired in association with trauma, previous surgery, trophoblastic disease. When a punctured artery does not seal completely, blood may escape and dissects the adjacent tissues, and collects in perivascular areas. If this maintains in communication with the parent vessel, a pseudoaneurysm could result. Typically the lesions are discovered because the patients have symptoms related to delayed rupture of the pseudoaneurysm, causing severe hemorrhage. Radiologic techniques have provided the opportunity to diagnose and treat pseudoaneurysm. We experienced a case of severe hemorrhage in the cervix four weeks following laparoscopic supracervical hysterectomy attributed to a pseudoaneurysm of the uterine artery and treated with arterial embolization.

Key Words: Laparoscopic supracervical hysterectomy, Pseudoaneurysm, Arterial embolization