BACKGROUND:: Uterine artery pseudoaneurysm has a pathognomonic ultrasound appearance. Its occurrence in pregnancy is life-threatening for both mother and fetus. We present an illustrative case and discuss management with selective uterine artery embolization during pregnancy. CASE:: A 37-year-old pregnant woman presented with profuse painless vaginal blood loss at a gestational age of 27 weeks. Ultrasonography and magnetic resonance imaging indicated a left-sided uterine artery pseudoaneurysm. Selective embolization of the pseudoaneurysm was performed. Blood loss ceased allowing the pregnancy to continue until term. CONCLUSION:: Endovascular embolization is a feasible therapeutic option for a uterine artery pseudoaneurysm during pregnancy without compromising fetoplacental perfusion.

doi.org/10.1097/AOG.0000000000000002, hdl.handle.net/1765/59631
Obstetrics and Gynecology
Department of Gynaecology & Obstetrics

Cornette, J., van der Wilk, E., Janssen, N., van der Weiden, R. M., Jenninkens, S. F., Pattynama, P., & Duvekot, H. (2014). Uterine artery pseudoaneurysm requiring embolization during pregnancy. Obstetrics and Gynecology (Vol. 123, pp. 453–456). doi:10.1097/AOG.0000000000000002