PMC3350022_01
The subtracted aortogram image demonstrates generalized arterial spasm, spasm of the right common femoral artery, and a left uterine artery pseudoaneurysm (arrow).
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fig1
In addition, extravasation of contrast was seen from the left uterine artery during the aortogram (Figure 1).
A selective left uterine artery angiogram reveals a pseudoaneurysm with prompt and florid extravasation of contrast into the pelvis.
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fig2
Selective left uterine artery catheterization revealed an irregular collection of contrast agent consistent with a pseudoaneurysm (Figure 2).
Postembolization angiography of the anterior division of the left internal iliac artery illustrates the embolization coils (arrow). There is no evidence of a pseudoaneurysm or of contrast extravasation.
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fig3
No other source of contrast extravasation was identified at angiography in either hemi-pelvis, particularly on the left side (Figure 3).
This axial CT-obtained cranial to the urinary bladder reveals disorganized lower uterine wall anatomy, a peritoneal fluid collection, and scattered gas bubbles in the uterus and peritoneum.
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fig4
C, as well as, a cough producing greenish-yellow sputum. CT of the abdomen and pelvis, in the axial plane, demonstrated intra-abdominal fluid and disorganized anatomy in the lower anterior wall of the uterus associated with scattered gas bubbles in the uterus and peritoneal fluid (Figure 4).
This sagittal CT of the abdomen better demonstrates the dehiscence of the anterior, lower uterus (arrow), and the peritoneal fluid. The endometrial cavity is distended with fluid that is contiguous with the peritoneal space.
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fig5
In the sagittal plane, it was evident that there was an anterior uterine incision dehiscence with peritoneal fluid contiguous with the endometrial cavity (Figure 5).