Zahra F*, Alamooti Z, AlSaady R
Uterine artery pseudoaneurysm (UAP) is an acquired abnormal blood vessel like space formed from a leak of a uterine artery branch and accumulation of thrombus. Most UAPs occur inside the uterus. They occur rarely and can develop after various gynaecologic and obstetric procedures. Delay in its diagnosis can result in life threatening haemorrhage. Here we present a case of a 48-year-old woman who presented with heavy vaginal bleeding one month after removal of multiple uterine myomas. Ultrasound and color doppler showed a uterine artery pseudoaneurysm. Emergency subtotal hysterectomy had to be performed due to catastrophic bleeding. She was found to have a ruptured uterine artery pseudoaneurysm at one site of myoma removal and an intact uterine artery pseudoaneurysm at another site of myoma removal. Literature review was done and this case was compared with other cases of delayed post myomectomy haemorrhage and uterine pseudoaneurysms to find out the presentation, differential diagnosis and management of delayed post myomectomy haemorrhage and uterine artery pseudoaneurysms.
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