Right Internal Iliac Pseudoaneurysm in Pregnancy

Abstract

BACKGROUND: Internal iliac pseudoaneurysm is a rare and often asymptomatic finding. Diagnosing pseudoaneurysms are critical, as rupture may lead to shock and carries a high mortality rate for patient and fetus. CASE: A G2P1 female at 34 4/7 weeks pregnancy is found to have a ruptured right internal iliac pseudoaneurysm. CT angiogram confirmed the diagnosis after routine prenatal ultrasound for abdominal pain raised concern for the finding. Primary caesarian delivery was performed with vascular surgery for concurrent delivery and pseudoaneurysm coiling. CONCLUSION: Pseudoaneurysm should be considered in diagnosis for pelvic or abdominal pain in pregnant women. A complex heterogenous adnexal mass with blood flow in pregnancy warrants further studies including CT angiogram.

Keywords

• Pregnancy
• Pseudoaneuyrsm
• Internal iliac pseudoaneurysm
• Pseudoaneurysm in pregnancy