Case Report
Severe Hemorrhage Due to Rupture of Uterine Artery Pseudoaneurysm: Post Miscarriage of Scar Pregnancy: A Rare Case Report
Ashwini G*, Samra Q, Sanaa Badr, Arabo Bayo and Reda R Yousef
Department of Clinical Imaging, Women Wellness and Research Center (WWRC), Hamad Medical Corporation, Qatar
*Corresponding author: Ashwini G, Department of Clinical Imaging, Women’s Hospital, Hamad Medical Corporation, Doha, Qatar, Tel no: 00974-33544845; E-mail: Agujrathi@hamad.qa
Copyright: © 2020 Ashwini G, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Information: Submission: 21/11/2019; Accepted: 12/03/2020; Published: 16/03/2020
Abstract
Uterine Artery Pseudo aneurysm (UAP) is a rare cause of secondary postpartum hemorrhage but it is potentially life-threatening. It can occur after caesarean section, myomectomy or dilatation and curettage (D and C) [1,2].
We present a case of 20 years old lady with previous 2 C-sections presented with severe vaginal bleeding post D and C due to incomplete abortion of previous diagnosed Scar pregnancy. US color Doppler showed a pseudoaneurysm in the lower uterine cavity. Exploratory laparotomy was performed as patient was in hemorrhagic shock and Retained Products of Conception (RPOC) adherent to the scar were removed.
In order to avert life-threatening bleeding due to UAP prompt and accurate diagnosis should be made using color Doppler US, as it plays a significant role in demonstrating the vascular nature of this anechoic uterine lesion.