Song YL, Wang CF. Temporary bilateral uterine artery occlusion in the control of hemorrhage: A case report and review of literature. World J Clin Cases 2025; 13(18): 101309 [DOI: 10.12998/wjcc.v13.i18.101309]
Corresponding Author of This Article
Chun-Feng Wang, Deputy Chief Doctor, Surgeon, Department of Gynecology, Zhejiang Hospital, No. 1229 Gudun Road, West Lake District, Hangzhou 310030, Zhejiang Province, China. chunfengwang123sdu@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
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. Jun 26, 2025; 13(18): 101309 Published online Jun 26, 2025. doi: 10.12998/wjcc.v13.i18.101309
Temporary bilateral uterine artery occlusion in the control of hemorrhage: A case report and review of literature
Yu-Liang Song, Chun-Feng Wang
Yu-Liang Song, Chun-Feng Wang, Department of Gynecology, Zhejiang Hospital, Hangzhou 310030, Zhejiang Province, China
Author contributions: Song YL helped collect data and images and wrote the manuscript; Wang CF helped review and edit the manuscript; all the authors helped revise the manuscript; all the authors read and approved the final manuscript.
Informed consent statement: All procedures involving human participants were performed in accordance with the ethical standards of the institutional research committee. The patient provided consent for the publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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: Chun-Feng Wang, Deputy Chief Doctor, Surgeon, Department of Gynecology, Zhejiang Hospital, No. 1229 Gudun Road, West Lake District, Hangzhou 310030, Zhejiang Province, China. chunfengwang123sdu@163.com
Received: September 10, 2024 Revised: November 1, 2024 Accepted: December 5, 2024 Published online: June 26, 2025 Processing time: 169 Days and 18.5 Hours
Abstract
BACKGROUND
Intramural pregnancy is rare, with an unclear etiology and pathophysiology. Surgical, medical, and expectant management options are available for this condition. However, most reported cases are managed surgically. Despite the risks of massive intraoperative bleeding and acute and long-term complications, uterine artery embolization is often selected. Temporary occlusion of the bilateral uterine arteries during surgery is associated with fewer complications.
CASE SUMMARY
We reported the case of a patient who was diagnosed with intramural pregnancy approximately one month after medical abortion. We performed laparoscopic resection with hysteroscopy. Since the lesion had abundant blood flow, we temporarily blocked the bilateral uterine arteries to prevent massive intraoperative bleeding. The surgical process went smoothly. The postoperative course was uneventful.
CONCLUSION
Temporary occlusion of the bilateral uterine arteries in the treatment of intramural pregnancy may prevent excessive uterine bleeding during surgery.
Core Tip: Intramural pregnancy is rare. There are few reports on temporary uterine artery occlusion for the treatment of intramural pregnancy. Here, we review studies on intramural pregnancy and report bilateral uterine artery occlusion during laparoscopic surgery and hysteroscopy for intramural pregnancy. The surgical process and postoperative course were uneventful.
