Byeon H. Timely identification and treatment of uterine artery pseudoaneurysm after hysteroscopic procedures. World J Gastrointest Oncol 2024; 16(12): 4762-4765 [DOI: 10.4251/wjgo.v16.i12.4762]
Corresponding Author of This Article
Haewon Byeon, PhD, Associate Professor, Department of Digital Anti-aging Healthcare (BK21), Inje University, No. 197 Injero, Gimhae 50834, South Korea. bhwpuma@naver.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Dec 15, 2024; 16(12): 4762-4765 Published online Dec 15, 2024. doi: 10.4251/wjgo.v16.i12.4762
Timely identification and treatment of uterine artery pseudoaneurysm after hysteroscopic procedures
Haewon Byeon
Haewon Byeon, Department of Digital Anti-aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea
Author contributions: Byeon H contributed to the data interpretation, and writing the article.
Supported by Basic Science Research Program Through the National Research Foundation of Korea (NRF) Funded by the Ministry of Education, No. NRF-RS-2023-00237287 and No. NRF-2021S1A5A8062526; and Local Government-University Cooperation-Based Regional Innovation Projects, No. 2021RIS-003.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Haewon Byeon, PhD, Associate Professor, Department of Digital Anti-aging Healthcare (BK21), Inje University, No. 197 Injero, Gimhae 50834, South Korea. bhwpuma@naver.com
Received: July 20, 2024 Revised: September 27, 2024 Accepted: October 21, 2024 Published online: December 15, 2024 Processing time: 115 Days and 10.1 Hours
Abstract
Uterine artery pseudoaneurysm (UAP) is a rare but potentially life-threatening complication that can occur following hysteroscopic surgery for endometrial polyp resection. This article discusses the case study by Kakinuma et al, which highlights the successful diagnosis and treatment of UAP in a 48-year-old primiparous woman. Utilizing advanced imaging techniques such as ultrasound and computed tomography (CT), the medical team was able to promptly identify the UAP and subsequently perform a uterine artery embolization to treat the condition. The study underscores the critical need for rapid diagnosis and intervention to prevent severe outcomes and provides practical clinical recommendations for managing similar cases. This article aims to expand on the study’s findings, discuss the clinical implications, and suggest future research directions to optimize the management of UAP post-hysteroscopic surgery.
Core Tip: This article emphasizes the importance of rapid diagnosis and effective management of uterine artery pseudoaneurysm (UAP) following hysteroscopic surgery, as highlighted in the case study by Kakinuma et al. Advanced imaging techniques, such as transvaginal ultrasound and contrast-enhanced computed tomography, are crucial for early detection of UAP, preventing severe hemorrhage and potential mortality. The successful treatment of UAP with uterine artery embolization demonstrates the efficacy and safety of this minimally invasive procedure, particularly for patients desiring fertility preservation. Clinicians should maintain high vigilance for UAP in patients presenting with abnormal uterine bleeding post-surgery and promptly initiate appropriate imaging studies to confirm the diagnosis.
