Perinatology.  2018 Dec;29(4):195-197. 10.14734/PN.2018.29.4.195.

Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

• Kim SJ
• Kim AM
• Kim TY
• Kim JW
• Kim YH

• KMID: 2430225
• DOI: http://doi.org/10.14734/PN.2018.29.4.195

Abstract

As intervention techniques have been developed recently, minimal invasive treatment for uterine myoma using uterine artery embolization is receiving attention increasingly. Uterine rupture occurs rarely, but once it occurs, it may cause fatal results in both mother and fetus. Although the relationship between uterine artery embolization for treatment of uterine myoma and uterine rupture has not been clearly revealed yet, a case implying that the embolization for treatment of uterine myoma can be a risk factor of uterine rupture like previous caesarian delivery or myomectomy.

Keyword

Uterine rupture; Uterine artery embolization; Leiomyoma; Pregnancy

MeSH Terms

Fetus
Humans
Leiomyoma*
Mothers
Pregnancy
Risk Factors
Uterine Artery Embolization*
Uterine Artery*
Uterine Rupture*

Figure

• 

  Fig. 1 Ultrasonographic finding of inceased fluid collection in abdominal right lower quardrant area.

• 

  Fig. 2 Intraoperative photo of uterine rupture site. Intramural type myoma of posterior uterine wall near the rupture site. Size about 2×2 cm (arrow).

• 

  Fig. 3 Transvaginal ultrasonographic finding of the uterus after 1 week of operation (longitudinal section). The ruptured posterior wall is thinner.

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