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Fatal Hemorrhagic Shock From Rupture of a Giant Uterine Artery Pseudoaneurysm 20 Years After Myomectomy: A Case Successfully Managed With Transcatheter Arterial Embolization

Year: 2025

Type: article

Abstract: A uterine artery pseudoaneurysm (UAP) is a rare and serious complication after gynecological surgery, and its rupture can cause fatal bleeding. In this report, a rare case of UAP rupture 20 years after myomectomy is presented, along with a discussion of the diagnosis and treatment strategy. A 54-year-old woman had undergone open hysterectomy for cervical myoma 20 years earlier. She was brought to the emergency room with sudden lumbar back pain and loss of consciousness and was diagnosed with a ruptured pseudoaneurysm of the right uterine artery by contrast-enhanced computed tomography and angiography. Transcatheter arterial embolization was performed, and her vitals were stabilized. Subsequent magnetic resonance imaging showed a pseudoaneurysm after a contained rupture that had become organic, and a portion of the nonorganized component remained. Six months later, a partial resection was performed by laparotomy. This case indicates the need for long-term postoperative follow-up and is reported here for comparison with previous reports.

Source: Cureus

DOI: 10.7759/cureus.87814

Authors: Toshiro Imamoto, Makoto Sawano

Institution: Saitama Medical Center, Saitama Medical University

Language: English

Topic: Uterine Myomas and Treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4412371556