Uterine artery pseudoaneurysm: A case of late intraabdominal haemorrhage after caesarean section

Author: Soe Lwin ^{1
,

2} ; Thidar Soe ^{1
,

2} ; Myat San Yi ^{1
,

2} ; Christine Mui Fong Lee ^{1
,

3} ; Sue Marie Cheng Kian Pe ^{1
,

3} ; Tin Moe Nwe ⁴
Author Information

1. Department of Obstetrics &
2. Gynecology, Faculty of Medicine and Health Science, UNIMAS
3. Gynecology, Sarawak General Hospital, Ministry of Health Malaysia
4. 3 Department of Basic Health Sciences, Faculty of Medicine and Health Sciences, UNIMAS
Publication Type:Case Reports
Keywords: Pseudoaneurysm; intraabdominal haemorrhage; embolisation; angiography
From: The Medical Journal of Malaysia 2020;75(3):298-300
CountryMalaysia
Language:English
Abstract: Uterine artery pseudoaneurysm (UAP) is a rare acquired vascular malformation associated with vaginal bleeding or intraabdominal haemorrhage occurring after pelvic surgery. Pseudoaneurysm may present with delayed, severe haemorrhage after a seemingly uncomplicated initial postoperative period. Treatment is therefore necessary to prevent further complications. We describe here a case of a 32-year-old mother, who presented with abdominal pain and intraabdominal bleeding, 20 days after Caesarean Section. Computerised Tomography (CT) scan showed the presence of haemoperitoneum, suggestive of pseudoaneurysm at the right cervical artery which was successfully managed with emergency angiographic embolisation.