a 25y ,previous I cs ,+/- 36w gestation, history of previous laparotomy for ruptured Uterine artery pseudoaneurysm with repair and iliac artery ligation.
Are these vessels at the C-section site or along the lateral uterus? If in the section site - they could be due to hypervascularization in the scar tissue. If in the adnexa, they could be prominent vessels from increased blood flow to the pregnant uterus. Are they at the site of her prior pseudo aneurysm? Is there very high flow in these vessel like an AV malformation? Very interesting - image would have been great to look at.
Thanks for the response.
They are at the site of prior aneurysm.there is no turbulent flow.
What about the significance of hypervascularized scar?
I saw a case with a lot of blood vessels in the scar region and the placenta was further away from the scar - I think it was because the scar region had some increased vascularity in it. Doesn't seem like that would be the issue here. Seems like the issue here is the prior pseudo aneurysm and looks like there is abnormal vascularity in this region - maybe from the increased flow from the pregnancy or some AV malformation. Since she is 36 weeks, maybe you should just wait for her to deliver and then do a MR or just re-image with US.
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