Endovascular treatment of iatrogenic uterine artery pseudoaneurysm A report of two cases

Uterine artery pseudoaneurysm (UAP) is a rare but potentially life-threatening vascular lesion, which may cause secondary postpartum hemorrhage. We report two cases of patients with UAP, aged 31 and 34 years, respectively. Both suffered from secondary postpartum hemorrhage and the diagnosis of left UAP was confirmed on Doppler ultrasound (US). They were both treated successfully with unilateral embolization with gel foam and coiling of the left uterine artery. On follow-up on the 2nd, 4th, 12th, and 24th weeks after surgery no complications were observed. Embolization of the uterine artery is a safe, effective procedure for managing postpartum hemorrhage resulting from UAP, in view of its low complication rate and high success rate. With accurate early diagnosis of UAP and using minimally invasive procedures in appropriately selected cases, the uterus and reproductivity can be preserved using a simple, safe, procedure with a lower complication rate.