A Case of Uterine Artery Pseudoaneurysms

SP Ho, CL Ong, BS Tan
Correspondence: Dr Ho Sio Ping, spho@kkh.com.sg

ABSTRACT
Uterine artery pseudoaneurysms is a rare cause of haemorrhage but is potentially life-threatening and can occur after common gynaecological operations such as a Caesarean section or a hysterectomy. A 33-year-old woman who developed secondary postpartum haemorrhage after a Caesarean section was diagnosed to have uterine artery pseudoaneurysms on ultrasound scan. She was treated with bilateral uterine artery embolisation via selective catherisation of uterine arteries. Good outcome with the aneurysms remaining obliterated was obtained. Angiographic embolisation is a safe and effective method of treating postpartum haemorrhage in haemodynamically stable patients and should be an option before resorting to surgery in appropriately selected cases.

Keywords: uterine pseudoaneurysms, embolism, angiography
Singapore Med J 2002; 43(4): 202-204