Metz Charlotte K, Hinkson Larry, Gebauer Bernhard, Henrich Wolfgang
Department of Obstetrics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Department of Radiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Case Rep Perinat Med. 2022 Dec 19;12(1):20220010. doi: 10.1515/crpm-2022-0010. eCollection 2023 Jan.
Uterine artery pseudoaneurysm (UAP) is a rare but sinister complication during pregnancy. Diagnosis can be made by color Doppler ultrasound. Previous abdominal- and obstetric surgery increase the risk for UAP formation.
We present a case of a 36 year young healthy women, presenting at 27 weeks of gestation with acute lower abdominal pain. UAP was detected by color Doppler ultrasound. An endovascular coil embolization was performed, with good maternal and fetal outcome. Furthermore, a review of the literature looking at UAP embolization in pregnancy was performed.
UAP is reported to appear as a complication of endometriosis. UAP should be treated by endovascular coil embolization, which is a safe and with almost 100% success rate an effective treatment during pregnancy.
子宫动脉假性动脉瘤（UAP）是妊娠期一种罕见但严重的并发症。可通过彩色多普勒超声进行诊断。既往腹部及产科手术会增加UAP形成的风险。
我们报告一例36岁健康年轻女性病例，该女性在妊娠27周时出现急性下腹痛。通过彩色多普勒超声检测到UAP。进行了血管内弹簧圈栓塞术，母婴结局良好。此外，还对妊娠期UAP栓塞的文献进行了综述。
据报道，UAP是子宫内膜异位症的一种并发症。UAP应采用血管内弹簧圈栓塞术治疗，这是一种安全且成功率几乎达100%的妊娠期有效治疗方法。
