Kakinuma Toshiyuki, Kakinuma Kaoru, Kawarai Yoshimasa, Ohta Tomoyuki, Ohwada Michitaka, Tanaka Hirokazu, Yanagida Kaoru
Department of Obstetrics and Gynecology, International University of Health and Welfare Hospital, Tochigi, Japan.
Center for Human Reproduction, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):54-56. doi: 10.4103/GMIT.GMIT_33_20. eCollection 2022 Jan-Mar.
Uterine artery pseudoaneurysms are caused by damage to blood vessel walls from iatrogenic changes including cesarean section or cervical dilatation and uterine curettage. Manual vacuum aspiration (MVA) is becoming increasingly popular from the perspective of reducing the risk of endometrial injury. This is a case report of a 33-year-old primigravida female patient diagnosed with an unruptured uterine artery pseudoaneurysm that spontaneously resolved after surgery for miscarriage using MVA. The patient experienced a miscarriage at 10 weeks and 0 days of gestation and underwent surgery using MVA. Fourteen days after surgery, the patient was diagnosed with a uterine artery pseudoaneurysm by transvaginal ultrasound tomography and contrast computed tomography of the pelvic region. The patient received elective follow-up and was found to be completely thrombosed 2 months after surgery. MVA for miscarriage may cause uterine artery pseudoaneurysms. Elective therapy may be an option for unruptured uterine artery pseudoaneurysms.
子宫动脉假性动脉瘤是由包括剖宫产、宫颈扩张和刮宫等医源性改变导致血管壁受损引起的。从降低子宫内膜损伤风险的角度来看，手动真空吸引术（MVA）越来越受欢迎。这是一例33岁初孕妇的病例报告，该患者被诊断为未破裂的子宫动脉假性动脉瘤，在使用MVA进行流产手术后自发消退。患者在妊娠10周0天时流产，并接受了MVA手术。术后14天，经阴道超声断层扫描和盆腔对比计算机断层扫描，患者被诊断为子宫动脉假性动脉瘤。患者接受了选择性随访，术后2个月发现完全血栓形成。MVA流产可能会导致子宫动脉假性动脉瘤。对于未破裂的子宫动脉假性动脉瘤，选择性治疗可能是一种选择。
