|
KMID : 0358420120550020137
|
|
Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 2 p.137 ~ p.141
|
|
|
A case of treatment by embolization of uterine arterial pseudoaneurysm following laparoscopic supracervical hysterectomy
|
|
Lee Mi-Ra
Jeon Hye-Ji
Kim Min-Jeong
Choi Sl-A
Kim Yun-Sook
Bae Dong-Han
Goo Dong- Erk
|
|
|
Abstract
|
|
|
|
Laparoscopic supracervical hysterectomy is relatively new and minimally invasive surgery. The advantages of this operation are conserving the cervix. But it has complications like intraoperative bleeding, ureteral injury, bowel perforation and postoperative hematoma. Pseudoaneurysm can be acquired in association with trauma, previous surgery, trophoblastic disease. When a punctured artery does not seal completely, blood may escape and dissects the adjacent tissues, and collects in perivascular areas. If this maintains in communication with the parent vessel, a pseudoaneurysm could result. Typically the lesions are discovered because the patients have symptoms related to delayed rupture of the pseudoaneurysm, causing severe hemorrhage. Radiologic techniques have provided the opportunity to diagnose and treat pseudoaneurysm. We experienced a case of severe hemorrhage in the cervix four weeks following laparoscopic supracervical hysterectomy attributed to a pseudoaneurysm of the uterine artery and treated with arterial embolization.
|
|
|
KEYWORD
|
|
|
Laparoscopic supracervical hysterectomy, Pseudoaneurysm, Arterial embolization
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|