Okpete UE, Byeon H. Importance of timely diagnosis and intervention in uterine artery pseudoaneurysm caused by hysteroscopic surgery. World J Clin Cases 2024; 12(34): 6740-6743 [DOI: 10.12998/wjcc.v12.i34.6740]
Corresponding Author of This Article
Haewon Byeon, DSc, PhD, Academic Editor, Associate Professor, Director, Department of Digital Anti-aging Healthcare (BK21), Inje University, 197 Injero, Gimhae 50834, South Korea. bhwpuma@naver.com
Research Domain of This Article
Surgery
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 Clin Cases. Dec 6, 2024; 12(34): 6740-6743 Published online Dec 6, 2024. doi: 10.12998/wjcc.v12.i34.6740
Importance of timely diagnosis and intervention in uterine artery pseudoaneurysm caused by hysteroscopic surgery
Uchenna E Okpete, Haewon Byeon
Uchenna E Okpete, Haewon Byeon, Department of Digital Anti-aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea
Author contributions: Okpete UE involved in data interpretation, developed methodology; Byeon H designed the study; Okpete UE and Byeon H contributed to this paper and assisted with writing the article; all of the authors read and approved the final version of the manuscript to be published.
Supported byThe Basic Science Research Program through the National Research Foundation of South Korea funded by the Ministry of Education, No. NRF- RS-2023-00237287 and No. NRF-2021S1A5A8062526; and The Local Government-University Cooperation-Based Regional Innovation Projects, South Korea, No. 2021RIS-003.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of 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, DSc, PhD, Academic Editor, Associate Professor, Director, Department of Digital Anti-aging Healthcare (BK21), Inje University, 197 Injero, Gimhae 50834, South Korea. bhwpuma@naver.com
Received: July 19, 2024 Revised: September 15, 2024 Accepted: September 27, 2024 Published online: December 6, 2024 Processing time: 84 Days and 19 Hours
Abstract
This manuscript explores the case on the occurrence of uterine artery pseudoaneurysm (UAP) during hysteroscopy endometrial polypectomy and the subsequent successful treatment via uterine artery embolization (UAE). Moreover, we focus on the management and treatment options for UAP in patients of advanced maternal age. A pseudoaneurysm is an extraluminal blood collection with a disrupted flow that communicates with the parent vessel via a defect in the arterial wall. The reported case involved a 48-year-old primiparous woman who developed a UAP after uterine polyp removal. The study enhances the understanding of UAP, a rare but potentially life-threatening condition, by providing a detailed and well-documented account of the comprehensive case presentation, effective use of medical imaging techniques for diagnosis, successful postoperative patient management following UAE, and practical clinical recommendations for clinicians managing similar cases. Overall, this study highlights the importance of considering UAP as a differential diagnosis in patients with abnormal vaginal bleeding following hysteroscopic surgery. Additionally, this manuscript recommends that clinicians with a high index of suspicion for UAP promptly request ultrasonography and computed tomography to facilitate early diagnosis. UAE is suggested as a primary treatment due to its effectiveness and safety, particularly in facilities capable of avoiding hysterectomy.
Core Tip: This manuscript emphasizes the critical role of early diagnosis and effective management of uterine artery pseudoaneurysm (UAP) during hysteroscopic endometrial polypectomy as described in the case report. Using advanced imaging techniques, transvaginal ultrasonography and pelvic contrast-enhanced computed tomography, the study accurately diagnosed UAP in a 48-year-old primigravid, primiparous woman. The successful treatment with uterine artery embolization (UAE) demonstrated its efficacy and safety, preventing life-threatening complications. This case highlights the importance of prompt intervention and suggests UAE as a primary treatment modality for UAP.
