Open Access Case report

Life-threatening bleeding after pelvic lymphadenectomy for cervical cancer: endovascular management of ruptured false aneurysm of the external iliac artery

Enzo Ricciardi1*, Giampaolo Di Martino1, Paolo Maniglio1, Mauro Schimberni1, Antonio Frega1, Marina Jakimovska2, Borut Kobal2 and Massimo Moscarini1

Author Affiliations

1 Department of Obstetrics and Gynecology, Sapienza University of Rome, Sant'Andrea Hospital, via di Grottarossa, 1035-1039, Roma 00189, Italy

2 Ginekoloska Klinika, University Medical Center, Ljubljana, Slovenia

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World Journal of Surgical Oncology 2012, 10:149 doi:10.1186/1477-7819-10-149

Published: 16 July 2012

Abstract

Late rupture of external iliac artery pseudo-aneurysm is an uncommon complication in patients who undergo extensive gynecologic radical surgeries. A 28-year-old woman with stage IB cervical cancer underwent pelvic lymphadenectomy and extrafascial trachelectomy. Two months after surgery, massive bleeding from ruptured pseudo-aneurysm of the external iliac artery occurred. Endovascular management with covered stent placement was feasible and safe to stop bleeding.

Keywords:
Cervical cancer; External iliac artery pseudo-aneurysm; Fertility-sparing procedure; Laparoscopy; Lymphadenectomy complication; Massive bleeding