The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Necrosis and Rupture of Uterus Following Uterine Artery Embolization: a Case Report

Document Type : Case report

Authors
Zohreh Yousefi 1
Amir Hosein Jafarian 2
Nooshin Babapour 3
Leila Mousavi Seresh 3
Laya Shirinzadeh 3
Akram Behrosnia 4
1 Professor, Department of Obstetrics and Gynecology, Fellowship of Gynecology Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Associate professor, Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Resident Fellowship of Gynecology Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2017.9510
Abstract
Introduction: Severe vaginal bleeding after postpartum is an emergency in obstetrics and if not treated appropriately associated with high mortality. Uterine   artery embolization is a minimally invasive procedure and effective method in addition to control bleeding, moreover may also preserve fertility. However, this method is also associated with complications such as ischemia and uterine rupture. The aim of this   article is to report of a   case of necrosis and   rupture of   the uterus   following   uterine   artery embolization.  
Case report: A 23-year-old woman with clinical presentation of massive postpartum hemorrhage was referred. She had history of twice Cesarean section and suffered severe vaginal bleeding after last surgery. Uterine artery embolization was performed and following it, because of repeated and uncontrolled vaginal bleeding, inevitably explorative laparotomy was performed. During surgery due to rupture of the myometrium and the impossibility of its restoration, she underwent hysterectomy. Pathology report confirmed the diagnosis.
Conclusion: Despite the effective beneficial outcomes of uterine artery embolization, due to its complications, proper indication and careful attention should be considered.
Keywords
Uterine artery embolization
Postpartum Hemorrhage
Necrosis
Uterine rupture

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 20, Issue 7
September 2017
Pages 71-75