Tua Simanjuntak Charley Dokma, Pratama Dedy, Limengka Yuliardy
Vascular and Endovascular Surgery Division, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
J Vasc Surg Cases Innov Tech. 2025 May 23;11(4):101856. doi: 10.1016/j.jvscit.2025.101856. eCollection 2025 Aug.
Uterine artery pseudoaneurysm (UAP) is a rare but potentially serious complication of gynecologic and obstetric procedures, typically arising from traumatic injuries to the uterine artery wall. Diagnosis often involves Doppler sonography and arteriography, with transcatheter uterine artery embolization (UAE) emerging as an effective treatment option. We aim to present a case of UAP with a review of its diagnosis and management. We present a case of a 28-year-old female with prolonged vaginal bleeding following cesarean section, diagnosed with UAP via computed tomography angiography and successfully treated with embolization. Prompt diagnosis and intervention are crucial in managing UAP to prevent life-threatening complications.
子宫动脉假性动脉瘤（UAP）是妇产科手术中一种罕见但潜在严重的并发症，通常由子宫动脉壁的创伤性损伤引起。诊断通常涉及多普勒超声检查和血管造影，经导管子宫动脉栓塞术（UAE）已成为一种有效的治疗选择。我们旨在介绍一例UAP病例，并对其诊断和管理进行综述。我们报告一例28岁女性，剖宫产术后出现长时间阴道出血，经计算机断层扫描血管造影诊断为UAP，并成功接受栓塞治疗。在管理UAP以预防危及生命的并发症方面，及时诊断和干预至关重要。
