Pseudoaneurysm of the uterine artery, a rare cause of postpartum hemorrhage: Report of two cases and literature review

Naima Laiche *, Mohammed Otman El ouarti, Yassine Belhaj, Sofia Jayi, Fatima Zohra Fdili Alaoui, Hekmat Chaara and Moulay Abdelilah Melhouf

Department of Obstetrics and Gynecology 2, Hassan 2 University Hospital, Fez, Morocco.
 
Case Study
GSC Biological and Pharmaceutical Sciences, 2024, 27(01), 264–267.
Article DOI: 10.30574/gscbps.2024.27.1.0143
Publication history: 
Received on 12 March 2024; revised on 23 April 2024; accepted on 26 April 2024
 
Abstract: 
Pseudoaneurysm of the uterine artery is among the rare causes of postpartum secondary hemorrhage. Its diagnosis is suspected in the presence of significant uterine bleeding without any other obvious cause, and its diagnostic confirmation relies on Doppler ultrasound and angiography. We report the cases of two patients who experienced postpartum secondary hemorrhage, in whom pelvic ultrasound suspected an aneurysm, confirmed and treated by angiography. The post-embolization outcomes were favorable, marked by complete cessation of bleeding. Clinical and ultrasound follow-up at one month did not reveal recurrence of bleeding and demonstrated the disappearance of the previously described pseudoaneurysm.
 
Keywords: 
Pseudoaneurysm; Uterine artery; Postpartum Hemorrhage; Angiographic Scan; Embolization
 
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