FAUX ANEVRYSME DE L ARTERE UTERINE : ETIOLOGIE INHABITUELLE DES HEMORRAGIES DU POST-PARTUM

Le faux anevrysme de lartere uterine est une complication rare, encore mal connue de la cesarienne, il est responsable dune hemorragie du post-partum secondaire, le plus souvent severe. Nous rapportons une observation dun faux anevrysme de lartere uterine gauche survenu 1 mois apres accouchement par cesarienne et revele par des metrorragies. Le diagnostic repose sur les donnees echographiques couple au Doppler vasculaire.Langiographie des arteres uterines constitue lexamen de reference. Son rôle est double, diagnostique et therapeutique par embolisation arterielle selective permettant lexclusion definitive de la lesion, tout en preservant la fertilite des patientes.

Summary: The false aneurysm of the uterine artery is a rare, still poorly understood complication of caesarean section, it is an uncommun cause of secondary postpartum hemorrhage, most often severe. We report a case of a false aneurysm of the left uterine artery which occurred 1 month after caesarean delivery, revealed by metrorrhagia. Diagnosis is based on ultrasound data coupled with vascular Doppler. Angiography of the uterine arteries is the reference examination. Its role is twofold: diagnostic and therapeutic by selective arterial embolization allowing the definitive exclusion of the lesion, while preserving the fertility of the patients.