Diagnosis of gynecological pseudoaneurysms and embolization with cyanoacrylate

Abstract

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.

Keywords: Angio-TC; Angiography; Arteria uterina; Arteriografía; CT angiography; Cianoacrilato; Cyanoacrylate; Doppler ultrasonography; Eco-Doppler; Embolización; Embolization; Gynecological bleeding; Hemorragia ginecológica; Pseudoaneurisma; Pseudoaneurysm; Uterine artery.