Pseudoaneurysm of the Uterine Artery After Abdominal Bilateral Salpingo-Oophorectomy Caused by Tubo-Ovarian Abscess: A Literature Review

 


Abstract

Uterine artery pseudoaneurysms (UAPs) are rare vascular lesions and may be life threatening if not diagnosed and properly treated. Tubo-ovarian abscess (TOA) represents an end stage process of pelvic inflammatory disease and the definitive therapy is surgery. We describe the case of a woman with a UAP after abdominal bilateral sapling-oophorectomy caused by a TOA. Six days later, she presented with sharp abdominal pain, and a Jackson-Pratt drain was filled with 70cc per hour. Selective uterine artery angiography demonstrated a UAP, and embolization was performed successfully. And we reviewed 10 cases of pseudoaneurysm after a gynecological operation, especially the first symptoms and diagnosis methods. In conclusion, UAP suspicion is required in the event of first symptoms such as vaginal spotting, abdominal discomfort/pain, fever, dizziness, etc. And, if it is suspected even slightly, an imaging works up should be conducted in a timely manner to quickly achieve diagnosis and treatment.

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