Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report

Background True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk...

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Published in:CVIR endovascular 2023-10, Vol.6 (1), p.50-50, Article 50
Main Authors: Jannusch, Kai, Steuwe, Andrea, Schimmöller, Lars, Dietzel, Frederic, Wilms, Lena M., Weiss, Daniel, Ziayee, Farid, Fehm, Tanja Natascha, Schlimgen, Charlotte, Poth, Vanessa, Ziegler, Reinhold Thomas, Minko, Peter
Format: Article
Language:English
Subjects:
Aneurysms
Case Report
Case reports
Coil-embolization
Contrast agents
Embolization
Fetuses
Gynecology
Imaging
Interdisciplinary aspects
Interventional Radiology
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Pain
Pregnancy
Radiation
Radiology
Ultrasonic imaging
Uterine aneurysm
Veins & arteries
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Summary:Background True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial. Case presentation We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus. Conclusions Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus.
ISSN:2520-8934
2520-8934
DOI:10.1186/s42155-023-00398-3