EP28.01: Uterine artery pseudoaneurysm with coexisting artrovenous malformation

Abstract

A 33-year old woman with a massive uterine bleeding occurred after a LPS treated uterine rupture due to a miomectomy scar pregnancy. US revealed an anechoic intramiometrial lesion surrounded by multiple tubular anechoic lesions distributed in the myometrium. 2D US and Colour Doppler sonography revealed a central arterial-like turbulent, low impedance blood flow inside the lesion. The hypothesis was of a uterine artery pseudoaneusysm and coexisting AV malformation. A 3DTVUS was performed to evaluate the exact position of the lesion and its angioarchitecture. The HD-flow 3D reconstruction of the resulting image revealed a large right pseudoaneurysm vascularised by an ecstatic vessel originated by the right uterine artery. Right artery embolisation was performed. 3D HD flow Doppler evaluation four days later showed persistent blood flow deriving from a collateral left uterine artery vessel. The patient was led to left uterine artery embolisation as well. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.