Abstract：
OBJECTIVE: To describe the management of uterine artery (pseudo)aneurysm, ruptured or unruptured, during pregnancy.
METHODS: After reporting a case about this rare pathology, a review of the literature was performed. The search was applied to PubMed databases.
RESULTS: A total of eighteen articles met the inclusion criteria. Eighteen patients were reported. Eight (44.4 %) patients didn\'t have prior medical or surgical history. Fifteen (83.3 %) beneficed interventional radiology method during pregnancy including two cases (13.3 %) with repeated embolization because of recanalization of the (pseudo)aneurysm. Nine patients (50 %) beneficed a planned cesarean between 34 and 39 weeks of gestation. One (15.8 %) patient was diagnosed with fetal death before treatment of the uterine artery (pseudo)aneurysm.
CONCLUSIONS: The decision to proceed to the treatment of the (pseudo)aneurysm must consider several factors, associated or not with a good fetal vitality and a hemodynamically stable patient. Embolization appears to be the method of choice. Mode of delivery and term remain not clear and contraindication of expulsive efforts in case of a uterine artery (pseudo)aneurysm merit further investigations.
METHODS: After reporting a case about this rare pathology, a review of the literature was performed. The search was applied to PubMed databases.
RESULTS: A total of eighteen articles met the inclusion criteria. Eighteen patients were reported. Eight (44.4 %) patients didn\'t have prior medical or surgical history. Fifteen (83.3 %) beneficed interventional radiology method during pregnancy including two cases (13.3 %) with repeated embolization because of recanalization of the (pseudo)aneurysm. Nine patients (50 %) beneficed a planned cesarean between 34 and 39 weeks of gestation. One (15.8 %) patient was diagnosed with fetal death before treatment of the uterine artery (pseudo)aneurysm.
CONCLUSIONS: The decision to proceed to the treatment of the (pseudo)aneurysm must consider several factors, associated or not with a good fetal vitality and a hemodynamically stable patient. Embolization appears to be the method of choice. Mode of delivery and term remain not clear and contraindication of expulsive efforts in case of a uterine artery (pseudo)aneurysm merit further investigations.
摘要：
目的：描述子宫动脉（假性）动脉瘤的治疗，破裂或未破裂，怀孕期间。
方法：报告一例罕见病理后，对文献进行了综述.搜索应用于PubMed数据库。
结果：共有18篇文章符合纳入标准。报告18例患者。8例（44.4%）患者没有既往病史或手术史。怀孕期间有15例（83.3％）受益于介入放射学方法，其中2例（13.3％）由于（假）动脉瘤的再通而反复栓塞。9名患者（50％）在妊娠34至39周之间计划进行剖宫产。一名（15.8%）患者在治疗子宫动脉（假性）动脉瘤之前被诊断为胎儿死亡。
结论：继续治疗（假性）动脉瘤的决定必须考虑几个因素，与良好的胎儿活力和血流动力学稳定的患者有关或无关。栓塞似乎是选择的方法。分娩方式和足月仍不清楚，在子宫动脉（假性）动脉瘤的情况下，排除努力的禁忌症值得进一步研究。
方法：报告一例罕见病理后，对文献进行了综述.搜索应用于PubMed数据库。
结果：共有18篇文章符合纳入标准。报告18例患者。8例（44.4%）患者没有既往病史或手术史。怀孕期间有15例（83.3％）受益于介入放射学方法，其中2例（13.3％）由于（假）动脉瘤的再通而反复栓塞。9名患者（50％）在妊娠34至39周之间计划进行剖宫产。一名（15.8%）患者在治疗子宫动脉（假性）动脉瘤之前被诊断为胎儿死亡。
结论：继续治疗（假性）动脉瘤的决定必须考虑几个因素，与良好的胎儿活力和血流动力学稳定的患者有关或无关。栓塞似乎是选择的方法。分娩方式和足月仍不清楚，在子宫动脉（假性）动脉瘤的情况下，排除努力的禁忌症值得进一步研究。
