Pérez-Holanda S. Life-threatening bleeding caused by artery pseudoaneurysm after endoscopic procedure successfully treated by artery embolization. World J Clin Cases 2025; 13(13): 99278 [DOI: 10.12998/wjcc.v13.i13.99278]
Corresponding Author of This Article
Sergio Pérez-Holanda, MD, PhD, Office of Regional Vice-ministry of Health, Regional Vice-ministry of Health, C Arturo Álvarez Buylla, Oviedo 33005, Asturias, Spain. perezholandas@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2025; 13(13): 99278 Published online May 6, 2025. doi: 10.12998/wjcc.v13.i13.99278
Life-threatening bleeding caused by artery pseudoaneurysm after endoscopic procedure successfully treated by artery embolization
Sergio Pérez-Holanda
Sergio Pérez-Holanda, Office of Regional Vice-ministry of Health, Regional Vice-ministry of Health, Oviedo 33005, Asturias, Spain
Author contributions: Pérez-Holanda S wrote the original version of this article and revised the final version.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sergio Pérez-Holanda, MD, PhD, Office of Regional Vice-ministry of Health, Regional Vice-ministry of Health, C Arturo Álvarez Buylla, Oviedo 33005, Asturias, Spain. perezholandas@gmail.com
Received: July 23, 2024 Revised: December 17, 2024 Accepted: December 25, 2024 Published online: May 6, 2025 Processing time: 172 Days and 6.4 Hours
Abstract
The Kakinuma et al’s case report shows that non-pregnancy-related arterial pseudoaneurysm is a relatively rare, little known by some gynecologists, endoscopists, surgeons or radiologists, which can cause massive bleeding. Arterial pseudoaneurysm is a condition in which the wall of a blood vessel collapses due to some invasive event, and the resulting leaked blood is engulfed by soft tissues, forming a cavity that is in communication with the vessel. It is a potentially life-threatening complication that could occurs after some deliveries and some gynecological invasive procedures. Remarkably, an undetermined percentage of pseudoaneurysms are asymptomatic, and in an asymptomatic patient it is difficult to predict the risk of haemorrhage and the attitude to follow, which depends on several factors, such as, the size and location of the vessel involved, changes in the size of the pseudoaneurysm, or the available therapeutic resources to be offered to patients, among others circumstances. The management of abdominal arterial pseudoaneurysm does not have consistent scientific evidence, but it seems that, regardless of the associated circumstances, the pseudoaneurysm could be treated at least initially, and mainly, through endovascular procedures, as done by Kakinuma et al.
Core Tip: Kakinuma et al’s case report shows that uterine non-pregnancy-related arterial pseudoaneurysm is a relatively uncommon, but potentially life-threatening complication that could occurs after any invasive gynecological procedure. The management criteria of abdominal arterial pseudoaneurysm does not yet have a high scientific level due to the scarcity of available data, but it seems that, regardless of the associated circumstances, the pseudoaneurysm could be treated at least initially, and mainly through endovascular procedures. In the symptomatic patient that authors present, an advanced endovascular diagnostic and therapeutic procedure was successfully performed.
