Uncommon Presentation of Uterine Artery Pseudoaneurysm: A Case Report of Post Cesarean Hemorrhage

Dr. Samiya Mufti, Dr. Abjeet Kour, Dr. Farhat Jaan, Dr. Ramandeep Singh

Abstract: Uterine artery pseudoaneurysm is an uncommon cause of vaginal bleeding that can occur after cesarean, hysterectomy, myomectomy, uncomplicated vaginal delivery, as well as gynecologic surgery. A 27 - year - old woman (P2L2) who underwent cesarean section, 3 years ago came with chief complain of heavy uterine bleeding since 3 months following 3 years amenorrhea, was found to have a 3.5*2.3 cm right uterine arterypseudo aneurysm on ultrasound. The patient presented to interventional radiology for angiography and uterine artery embolization to minimize the risk of spontaneous hemorrhage. This is the rare reported case, to our knowledge, of a uterine artery pseudo aneurysm associated with an old cesarean section. Computed tomography angiogram, with multi planar and maximal intensity projection images, can optimally display the pseudo- aneurysm and the feeding vessel, which can provide valuable information for image - guided catheter embolization.

Keywords: Catheterembolization; Uterine artery pseudoaneurysm, Vaginal bleeding; interventional radiology Angiography