J Korean Soc Radiol.
2022 May;83(3):699-704. 10.3348/jksr.2021.0062.
Uterine Artery Embolization as an Effective Management and Diagnostic Tool for Puerperal Uterine Inversion with Severe Postpartum Bleeding: A Case Report
- Affiliations
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- 1Department of Radiology, GangNeung Asan Hospital, Gangneung, Korea.
- 2Department of Radiology, Korea University Ansan Hospital, Ansan, Korea.
- 3Department of Radiology, Pohang St. Mary’s Hospital, Pohang, Korea.
- 4Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.
- 5Department of Obstetrics and Gynecology, GangNeung Asan Hospital, Gangneung, Korea.
- KMID: 2530058
- DOI: http://doi.org/10.3348/jksr.2021.0062
Abstract
- Acute puerperal uterine inversion is a rare postpartum obstetric complication; however, without rapid diagnosis and appropriate management, it is life-threatening. Substantial bleeding hinders the verification of a partially inverted uterus, possibly delaying the treatment. Herein, we present the report of a 32-year-old female presenting with massive postpartum bleeding managed by uterine artery embolization. The peculiar course of the uterine artery bowing inferiorly along the inverted fundus during embolization could uncover the uterine inversion, which was not diagnosed by physical examination and CT. In conclusion, uterine artery embolization is not only an effective therapeutic strategy for postpartum hemorrhage but also a valuable tool for diagnosing uterine inversion.
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