Korean J Obstet Gynecol.  2009 May;52(5):576-580.

Uterine necrosis after partial obstruction of the uterine artery via selective embolization in postpartum hemorrhage: A case report

Affiliations
  • 1Department of Obstetrics and Gynecology, School of Medicine, Kangwon National University, Chuncheon, Korea. easehwang@yahoo.co.kr
  • 2Department of Pathology, School of Medicine, Kangwon National University, Chuncheon, Korea.

Abstract

Selective uterine arterial embolization is widely used in the management of obstetric hemorrhage. Owing to the physiological changes associated with pregnancy and selection of uterine arteries, ischemic injury after uterine arterial embolization in postpartum bleeding is rare. In previous reports, the known causes of ischemic injury after embolization are using the too small particle and complete occlusion of fine branch of uterine artery with absence of collateral ovarian artery. We experienced uterine necrosis despite partial obstruction of uterine arteries following the selective embolization. We report this case with brief review of literature

Keyword

Uterine artery embolization; Postpartum hemorrhage; Uterine necrosis

MeSH Terms

Arteries
Hemorrhage
Necrosis
Postpartum Hemorrhage
Postpartum Period
Pregnancy
Uterine Artery
Uterine Artery Embolization
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