全腹子宫切除术后通过超声引导经皮胶水注射治疗子宫动脉假性动脉瘤。

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Medical Ultrasound Pub Date : 2023-07-07 eCollection Date: 2024-07-01 DOI:10.4103/jmu.jmu_31_23

Yangala Sudha Devi, Ranjan Kumar Patel, Tara Prasad Tripathy, Saubhagya Jena

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引用次数: 0

摘要

腹部子宫切除术后出现子宫动脉假性动脉瘤（UAP）是一种不常见的并发症。然而，它可能会导致危及生命的大出血，因此必须及早诊断和干预。影像学检查对于及时诊断和规划干预措施至关重要。在此，我们描述了一例在全腹子宫切除术和双侧输卵管卵巢切除术后因左侧 UAP 引起的复发性大量阴道周围出血。通过经皮超声引导将胶水（氰基丙烯酸正丁酯）注入动脉瘤囊，成功止住了出血。患者目前状况良好，没有再次出血。

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Uterine Artery Pseudoaneurysm after Total Abdominal Hysterectomy Managed by Ultrasound-guided Percutaneous Glue Injection.

Uterine artery pseudoaneurysm (UAP) following abdominal hysterectomy is an uncommon complication. However, it can cause life-threatening bleeding, necessitating early diagnosis and intervention. Imaging is vital in its prompt diagnosis and aids in planning interventions. Here, we describe a case of recurrent massive per-vaginal bleeding from a left UAP developed following total abdominal hysterectomy and bilateral salpingo-oophorectomy. Bleeding was successfully managed with percutaneous ultrasound-guided glue (N-butyl cyanoacrylate) injection into the aneurysmal sac. The patient is doing well without any recurrent bleeding.

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来源期刊

Journal of Medical Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.30

自引率

9.10%

发文量

审稿时长

10 weeks

期刊介绍： The Journal of Medical Ultrasound is the peer-reviewed publication of the Asian Federation of Societies for Ultrasound in Medicine and Biology, and the Chinese Taipei Society of Ultrasound in Medicine. Its aim is to promote clinical and scientific research in ultrasonography, and to serve as a channel of communication among sonologists, sonographers, and medical ultrasound physicians in the Asia-Pacific region and wider international community. The Journal invites original contributions relating to the clinical and laboratory investigations and applications of ultrasonography.