[妊娠26周时子宫动脉破裂假性动脉瘤的栓塞治疗：母婴后果；病例报告]
[Embolization of a ruptured pseudo-aneurysm of the uterine artery at 26weeks of gestation: Materno-fetal consequences; a case-report].
作者信息
Maignien C, Marcellin L, Anselem O, Silvera S, Dousset B, Grangé G, Goffinet F
机构信息
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.
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.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2015 Sep;44(7):665-9. doi: 10.1016/j.jgyn.2014.07.005. Epub 2014 Sep 6.
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.
妊娠期间子宫动脉假性动脉瘤破裂是一种罕见疾病，可能引发危及生命的并发症，治疗方案的选择应考虑对胎儿的影响。我们报告一例病例，一名30岁孕妇，孕26（+0）周，因盆腔疼痛发现左侧子宫动脉有一个2厘米的假性动脉瘤。超声检查怀疑诊断，磁共振血管造影确诊，显示有破裂前迹象。在子宫内尝试进行紧急选择性栓塞，成功完全封堵动脉瘤囊。患者一个月后在孕31（+1）周时产下一名女婴，新生儿科医生最初对其进行治疗，目前女婴健康状况良好。
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