Damodharan Karthikeyan
Department of Diagnostic Radiology, Singapore General Hospital, Singapore, Singapore.
BJR Case Rep. 2016 Nov 11;2(1):20150351. doi: 10.1259/bjrcr.20150351. eCollection 2016.
Spontaneous rupture of the uterine artery during pregnancy is an extremely uncommon condition, which presents as an acute emergency, associated with high rates of maternal and foetal mortality. This condition is challenging to diagnose and treat, as it is an uncommon entity having an acute nature of presentation. They are usually managed by emergency laparotomy and the diagnosis is rarely made preoperatively. We describe a case with CT angiographic images clearly demonstrating the uterine artery pseudoaneurysm with associated extensive haemoperitoneum, which helped us confirm this rare diagnosis. We successfully treated the patient by an endovascular approach, which has not been reported previously.
孕期子宫动脉自发性破裂是一种极为罕见的病症，表现为急性急症，伴有高孕产妇和胎儿死亡率。这种病症的诊断和治疗具有挑战性，因为它是一种罕见且呈现急性症状的疾病。通常通过急诊剖腹手术进行处理，术前很少能做出诊断。我们描述了一例通过CT血管造影图像清晰显示子宫动脉假性动脉瘤并伴有广泛腹腔积血的病例，这有助于我们确诊这一罕见病症。我们通过血管内介入方法成功治疗了该患者，此前尚未有相关报道。
