Uterine artery pseudoaneurysm manifesting delayed postabortal bleeding

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Uterine artery pseudoaneurysm manifesting delayed postabortal bleeding Young Ah Kim, M.D., Yoon Hee Han, M.D., Kyung Chul Jun, M.D., Myung Kwon Jeon, M.D., Eung Soo Lee, M.D.  Fertility and Sterility  Volume 90, Issue 3, Pages 849.e11-849.e14 (September 2008) DOI: 10.1016/j.fertnstert.2007.07.1372 Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Ultrasonography shows a large ovoid anechoic mass measuring 5.3 × 5.5 cm identified in right pelvic cavity. (B) 12 months later, a hypoechoic lesion without flow measuring 1.01 × 0.85 cm (arrow) was identified as a residual image. Fertility and Sterility 2008 90, 849.e11-849.e14DOI: (10.1016/j.fertnstert.2007.07.1372) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Three-dimensional computerized tomography (CT) angiogram displayed a large mass (about 5.5 cm) that showed contrast filling on arterial phase and partially thrombosed wall. Also seen are the internal iliac artery (solid arrow) and the right uterine artery (open arrow). (B) Postembolization CT angiogram shows no feeding artery and artifact due to micro coils (curved arrow). Fertility and Sterility 2008 90, 849.e11-849.e14DOI: (10.1016/j.fertnstert.2007.07.1372) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 3 (A) Angiogram showing pseuoaneurysm of the right uterine artery. (B) Postembolization selective angiogram of the right internal iliac artery shows placement of microcoils (arrow) at the orifice of the pseudoaneurysm within the right uterine artery. There is no filling of the pseudoaneurysm near the neck of the pseudoaneurysm. Fertility and Sterility 2008 90, 849.e11-849.e14DOI: (10.1016/j.fertnstert.2007.07.1372) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions