Vaginal artery pseudoaneurysm after a hysterectomy: A case report and review of the literature

TL;DR

This case report describes the first known instance of a vaginal artery pseudoaneurysm following a hysterectomy, which was successfully treated with artery ligation.

Contribution

The novelty lies in being the first documented case of a vaginal artery pseudoaneurysm after a hysterectomy, rather than after childbirth.

Findings

A 51-year-old woman experienced massive vaginal bleeding 7 days after a hysterectomy due to a pseudoaneurysm.

Sonography identified the pseudoaneurysm, and bleeding was controlled via ligation of the left internal iliac artery.

This case expands the understanding of post-hysterectomy complications involving vascular anomalies.

Abstract

This was the first report of a pseudoaneurysm in a vaginal artery after hysterectomy, unlike other published studies that were of pseudoaneurysms in uterine or vaginal arteries after delivery.

A 51‐year‐old woman presented with massive vaginal bleeding 7 days after a hysterectomy, which caused hemoglobin to drop. The patient was suspicious of having a vaginal artery pseudoaneurysm according to the sonography. Her bleeding was stopped after the ligation of her left internal iliac artery.

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