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Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.

OBJECTIVE: To describe the diagnosis and management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.

DESIGN: Case reports.

SETTING: Departments of Obstetrics and Gynecology and Radiology at General Hospital.

PATIENT(S): A 32-year-old woman and a 41-year-old woman each developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.

INTERVENTION(S): Uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy was diagnosed on ultrasonography, computerized tomographic angiography, and digital subtraction angiography, and treated by transcatheter arterial embolization.

MAIN OUTCOME MEASURE(S): Uterine conservation.

RESULT(S): Fertility preservation was achieved in both of these women who developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.

CONCLUSION(S): Early diagnosis and endovascular management of uterine artery pseudoaneurysm after myomectomy are important to prevent life-threatening hemorrhage caused by pseudoaneurysmal rupture.

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