Delayed hemorrhage as a result of ruptured uterine artery pseudoaneurysm after transmyometrial oocyte retrieval: Management by transcatheter arterial embolization using N‐ N‐ butyl‐2‐cyanoacrylate

摘要

Abstract Uterine artery pseudoaneurysm is a rare but potentially life‐threatening complication that can occur after various uterine manipulations. A 34‐year‐old nulliparous patient with a previous history of four consecutive miscarriages with unknown etiologies underwent transmyometrial oocyte retrieval as a result of malpositioning of the right ovary. Six days later, she experienced massive vaginal bleeding after a day of intermittent bleeding and was transferred to our hospital. At triage, continuous bleeding from the cervical canal was observed. Color Doppler ultrasonography and three‐dimensional computerized tomographic angiography revealed a ruptured pseudoaneurysm originating from the peripheral branch of the right uterine artery in the lower uterine segment. It was successfully treated by transcatheter arterial embolization with N‐ butyl‐2‐cyanoacrylate. Transcatheter arterial embolization with N‐ butyl‐2‐cyanoacrylate is a feasible option for uterus‐preserving management of late massive hemorrhage resulting from a ruptured uterine artery pseudoaneurysm after transmyometrial oocyte retrieval.