1. Uterine artery pseudoaneurysm caused by a uterine manipulator
- Author
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Toshiyuki Seki, Yoshinobu Hamada, Teppei Ichikawa, Shin Onota, Manabu Nakata, and Satoshi Takakura
- Subjects
laparoscopy ,pseudoaneurysm ,uterine artery ,uterine manipulator ,Gynecology and obstetrics ,RG1-991 - Abstract
A uterine artery pseudoaneurysm (UAP) can occur after a traumatic event to the uterus, and cause massive bleeding. A uterine manipulator has been widely used for gynecologic laparoscopic surgery as basically an atraumatic instrument. We describe here a woman with a UAP caused by a uterine manipulator. She underwent laparoscopic ovarian cystectomy with a uterine manipulator due to torsion of a left ovarian cyst. Eleven days later, she came to our hospital with massive vaginal bleeding. Transvaginal Color Doppler ultrasound showed an intrauterine cystic mass with swirling blood flow, and three-dimensional arterial imaging from computed tomography revealed a UAP on the left side. Selective uterine artery angiography demonstrated a pseudoaneurysm in the distal portion of the left uterine artery, and embolization was performed successfully. A UAP should be taken into consideration in uterine bleeding after the use of a uterine manipulator. more...
- Published
- 2017
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