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Radiología (Madr., Ed. impr.) ; 59(4): 355-358, jul.-ago. 2017. ilus
Article in Spanish | IBECS | ID: ibc-164724

ABSTRACT

Los pseudoaneurismas de la arteria uterina son una causa infrecuente, pero muy grave, de hemorragia ginecológica como consecuencia de la manipulación quirúrgica pélvica o de partos instrumentalizados. Las distintas técnicas de imagen tienen vital importancia en el diagnóstico. La arteriografía es la prueba de confirmación y en muchos casos terapéutica. El tratamiento endovascular mediante embolización del pseudoaneurisma se ha consolidado como terapia de elección, lo que evita en muchos casos la histerectomía a mujeres en edad fértil. El objetivo de nuestro trabajo es presentar dos casos de hemorragia ginecológica por pseudoaneurismas, posquirúrgico y posparto, embolizados de manera novedosa con cianoacrilato (AU)


Pseudoaneurysms of the uterine artery are an uncommon cause of severe gynecological bleeding secondary to surgical manipulation of the pelvis or to instrumental delivery. The different imaging techniques are of vital importance in the diagnosis. Angiography is the technique used for confirmation and also for treatment in many cases. Endovascular treatment by embolizing the pseudoaneurysm has become established as the treatment of choice, making it possible to avoid hysterectomy in women of childbearing age. This article presents two cases of gynecological bleeding due to pseudoaneurysms (one secondary to surgery and one secondary to childbirth) that were embolized in a novel way using cyanoacrylate (AU)


Subject(s)
Humans , Female , Adult , Aneurysm, False , Uterine Artery Embolization/instrumentation , Uterine Hemorrhage , Ultrasonography, Doppler/instrumentation , Cyanoacrylates/therapeutic use , Embolization, Therapeutic/instrumentation , Uterine Artery/pathology , Uterine Artery/surgery , Uterine Artery , Angiography , Cyanoacrylates/radiation effects
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