Life-threatening bleeding after pelvic lymphadenectomy for cervical cancer: endovascular management of ruptured false aneurysm of the external iliac artery

Enzo Ricciardi,Borut Kobal,Marina Jakimovska,Giampaolo Di Martino,Paolo Maniglio,Mauro Schimberni,Massimo Moscarini,Antonio Frega

doi:10.1186/1477-7819-10-149

Abstract

Late rupture of external iliac artery pseudo-aneurysm is an uncommon complication in patients who undergo extensive gynecologic radical surgeries. A 28-year-old woman with stage IB cervical cancer underwent pelvic lymphadenectomy and extrafascial trachelectomy. Two months after surgery, massive bleeding from ruptured pseudo-aneurysm of the external iliac artery occurred. Endovascular management with covered stent placement was feasible and safe to stop bleeding.

Highlights

Iatrogenic pelvic pseudo-aneurysms following gynecologic or urologic procedures have been rarely reported in the past
We present a patient who had a previous surgery for cervical cancer who had sudden life-threatening bleeding due to a ruptured pseudo-aneurysm of the right external iliac artery
Arteriography demonstrated a ruptured pseudo-aneurysm of the external iliac artery on the right side (Figure 3)

Summary

Introduction

Background Iatrogenic pelvic pseudo-aneurysms following gynecologic or urologic procedures have been rarely reported in the past. We present a patient who had a previous surgery for cervical cancer who had sudden life-threatening bleeding due to a ruptured pseudo-aneurysm of the right external iliac artery. The placement of a covered stent was successful to stop the bleeding and assured a safe outcome for the patient.

Results

Conclusion