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

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