%0 Journal Article
%T Treatment of uterine artery (pseudo)aneurysm during pregnancy: A case report and review of the literature.
%A Crouzat A
%A Gauci PA
%J Eur J Obstet Gynecol Reprod Biol
%V 299
%N 0
%D 2024 Aug 14
%M 38905967
%F 2.831
%R 10.1016/j.ejogrb.2024.05.046
%X <B>OBJECTIVE: </B>To describe the management of uterine artery (pseudo)aneurysm, ruptured or unruptured, during pregnancy.<BR><B>METHODS: </B>After reporting a case about this rare pathology, a review of the literature was performed. The search was applied to PubMed databases.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.