case_images: PMC11298170_01
case_images: The ultrasound images at 42 days postpartum showed an heterogeneous weak echo mass in the cervix (a), and blood flow signals detected around (b). The ultrasound images 12 hours prior to admission revealed a heterogeneous echoic mass in the posterior cervix (c), Color Doppler imaging revealed the presence of swirling blood flow (*) exhibiting a to-and-fro pattern within the mass, which was observed to be connected to the left uterine artery (white arrow) adjacent to the cervix through a tear (yellow arrow) measuring approximately 0.5 cm in diameter (d). Two weeks post-operation, ultrasound revealed heterogeneous echoes in the posterior cervical wall (e), with no detectable blood flow signal within the lesion and absence of any connection to the uterine artery (f). At ten months follow-up, ultrasound demonstrated no evidence of cervical occupancy (g) and absence of abnormal blood flow signal (h).
case_images: IJWH-16-1329-g0001.jpg
case_images: PMC11298170_01_IJWH-16-1329-g0001.jpg
case_images: f0001
case_images: The transvaginal ultrasound images at 42 days postpartum showed a heterogeneous weak echo mass with a size of about 3.2x2.8x3.4 cm in the cervix (Figure 1a), with clear boundary, regular shape, and blood flow signals detected around (Figure 1b), which was diagnosed as cervical fibroid. Upon emergency examination, transvaginal ultrasound revealed a heterogeneous echoic mass measuring approximately 3.6x2.9x3.3 cm in the posterior cervix (Figure 1c). Color Doppler imaging revealed swirling blood flow exhibiting a to-and-fro pattern within the mass, which was connected to the left uterine artery adjacent to the cervix through a tear measuring approximately 0.5 cm in diameter (Figure 1d, Video S1). Two weeks post-operation, transvaginal ultrasound revealed heterogeneous echoes measuring 2.8x2.2x2.8 cm in the posterior cervical wall (Figure 1e), with no detectable blood flow signal within the lesion and absence of any connection to the uterine artery (Figure 1f). At the 10-months follow-up, transvaginal ultrasound demonstrated no evidence of cervical occupancy (Figure 1g) or abnormal blood flow signals (Figure 1h).
case_images: Emergency bilateral uterine artery embolization was performed. Intraoperative angiography demonstrated exudation of contrast agent in the left ascending branch of the uterine artery, resulting in pseudoaneurysmal changes (a, arrow). Post-embolization angiography review showed no evidence of contrast agent extravasation (b).
case_images: IJWH-16-1329-g0002.jpg
case_images: PMC11298170_01_IJWH-16-1329-g0002.jpg
case_images: f0002
case_images: Intraoperative angiography demonstrated exudation of contrast agent in the left ascending branch of the uterine artery, resulting in pseudoaneurysmal changes (Figure 2a, Video S2). Post-embolization angiography revealed no evidence of extravasation of the contrast agent (Figure 2b, Video S3).