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British Journal of Radiology (2004) 77, 157-158
© 2004 British Institute of Radiology
doi: 10.1259/bjr/43329609
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Case report

Spontaneous rupture of a true uterine artery aneurysm: a cause of retroperitoneal haematoma

M Nicolaou, MRCS 1 Y K Ruben, MRCS 1 C M A Peel, MBBS 1 A J Kuriakose, FRCS 1 T R F Paes, FRCS 1 and J E Jackson, FRCR 2

1 Department of Vascular Surgery, The Hillingdon Hospital, Pield Heath Road, Uxbridge, UB8 3NN and 2 Department of Imaging, Hammersmith Hospital, London, UK

Correspondence: Mr Paes Secretary, Mount Vernon Hospital, Rickmansworth Road, Northwood HA6 2RN, UK

We report the first case of spontaneous rupture of a true uterine artery aneurysm in a 69-year-old woman presenting with severe abdominal pain, a left iliac fossa mass, anaemia and a retroperitoneal haematoma on CT scanning. In this patient, the aneurysm was successfully embolised using microcoils. The different imaging modalities used for diagnosis and the treatment options are discussed.






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