Therapeutics and Clinical Risk Management (Jan 2018)
Acute pulmonary embolism in a patient with cesarean scar pregnancy after receiving uterine artery embolization: a case report
Abstract
Jian Qiu,1 Yunfeng Fu,2 Xiaohong Huang,1 Longwen Shu,1 Jiewei Xu,3 Weiguo Lu2,4 1Department of Obstetrics and Gynecology, Huzhou Central Hospital, Huzhou, Zhejiang, 2Department of Gynecologic Oncology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 3Department of General Surgery, Huzhou Central Hospital, Huzhou, Zhejiang, 4Women’s Reproductive Health Laboratory of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China Abstract: Uterine artery embolization (UAE) is considered to be an effective treatment for patients with cesarean scar pregnancy, especially for those presenting uncontrollable hemorrhage. However, it can also cause some potential complications. Pulmonary embolism is a rare but fatal complication in patients treated with UAE. Here, we report a case of a woman who was diagnosed with cesarean scar pregnancy presenting with pulmonary embolism during the operation of dilation and curettage after UAE treatment. Prompt resuscitation was carried out and the patient received anticoagulant treatment immediately. During the follow-up, she recovered well without any complications. We present the clinical details and imaging findings, followed by discussions of the etiology, treatments, and prevention strategies. Keywords: pulmonary embolism, cesarean scar pregnancy, uterine artery embolization
