He MS, Yu KX, Wang C. Fatal risk in hysteroscopic surgery that should not be overlooked: Uterine artery pseudoaneurysm. World J Clin Cases 2025; 13(8): 99702 [DOI: 10.12998/wjcc.v13.i8.99702]
Corresponding Author of This Article
Chen Wang, MD, Attending Doctor, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, No. 6 Panxi Seventh Branch Road, Jiangbei District, Chongqing 400021, China. chenge19860102@163.com
Research Domain of This Article
Surgery
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. Mar 16, 2025; 13(8): 99702 Published online Mar 16, 2025. doi: 10.12998/wjcc.v13.i8.99702
Fatal risk in hysteroscopic surgery that should not be overlooked: Uterine artery pseudoaneurysm
Mi-Si He, Ke-Xiao Yu, Chen Wang
Mi-Si He, Department of Gynecologic Oncology, Chongqing University Cancer Hospital and Chongqing Cancer Institute and Chongqing Cancer Hospital, Chongqing 400030, China
Ke-Xiao Yu, Chen Wang, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China
Author contributions: He MS, Wang C and Yu KX discussed and designed the manuscript; He MS wrote and edited the manuscript; Wang C designed the overall concept and outline of the manuscript; and all the authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report 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: Chen Wang, MD, Attending Doctor, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, No. 6 Panxi Seventh Branch Road, Jiangbei District, Chongqing 400021, China. chenge19860102@163.com
Received: July 29, 2024 Revised: November 3, 2024 Accepted: November 19, 2024 Published online: March 16, 2025 Processing time: 127 Days and 17.5 Hours
Abstract
This article provides a detailed account of the diagnosis and treatment of a case involving a uterine artery pseudoaneurysm (UAP), as well as an analysis of UAP etiology. This finding emphasizes that UAP should be considered in patients presenting with abnormal genital bleeding after hysteroscopy and offers valuable insights and lessons for gynecologists in hysteroscopic procedures. The patient underwent timely relevant examinations to confirm the diagnosis, allowing for crucial time required for her treatment. In this study, the primary cause of UAP formation in the patient was attributed to a prior hysteroscopic surgical procedure conducted at another medical facility, suggesting that the selection and implementation of dilatation catheters are some of the predisposing factors for UAP. In conclusion, this case study offers a comprehensive analysis of the etiology of UAP and effectively provides timely diagnosis and treatment, offering valuable insights for the clinical diagnosis and management of UAP.
Core Tip: This article provides a detailed review of the diagnosis and treatment of uterine artery pseudoaneurysm (UAP), explores its etiology, highlights cervical dilation as a key risk factor, and emphasizes the significance of ultrasound and pelvic contrast-enhanced computed tomography for early UAP detection.
