The Medical Journal of Malaysia 2020;75(3):298-300

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

Soe Lwin 1 ; Thidar Soe 1 ; Myat San Yi 1 ; Christine Mui Fong Lee 2 ; Sue Marie Cheng Kian Pe 2 ; Tin Moe Nwe 3

Affiliations

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Keywords

Pseudoaneurysm; intraabdominal haemorrhage; embolisation; angiography

Country

Malaysia

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.