[Embolization of a ruptured pseudo-aneurysm of the uterine artery at 26weeks of gestation: Materno-fetal consequences; a case-report]

J Gynecol Obstet Biol Reprod (Paris). 2015 Sep;44(7):665-9. doi: 10.1016/j.jgyn.2014.07.005. Epub 2014 Sep 6.
[Article in French]


Rupture of a uterine artery pseudo-aneurysm during pregnancy is a rare condition with potential life-threatening complications, and management should take into account the fetal impact of the therapeutic choice. We report the case of a 2cm left uterine artery pseudo-aneurysm revealed by pelvic pain, in a 30-year-old pregnant woman at 26(+0)weeks of gestation (WG). Diagnosis was suspected at ultrasound scan, and confirmed with Magnetic Resonance angiography that showed signs of pre-rupture. An emergency selective embolization attempted in utero allowed the complete exclusion of the aneurysmal sac. The patient gave birth one month later to a girl at 31(+1)WG, initially managed by neonatologists, who is currently in good health.

Keywords: Artère utérine; Embolisation; Embolization; Grossesse; Pregnancy; Pseudo-aneurysm; Pseudo-anévrisme; Uterine artery.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Aneurysm, False / diagnosis
  • Aneurysm, False / therapy*
  • Female
  • Gestational Age
  • Humans
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / therapy*
  • Uterine Artery / pathology*
  • Uterine Artery Embolization / methods*