Perinatology.  2020 Jun;31(2):81-84. 10.14734/PN.2020.31.2.81.

Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage

Affiliations
  • 1Departments of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 2Departments of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Uterine necrosis is a rare and fatal complication of uterine artery embolization (UAE). We report a case of uterine necrosis after UAE for postpartum hemorrhage (PPH). Two days after UAE, the woman had a high fever, which lasted for 18 days. After the hysterectomy, pathological examination confirmed the uterine necrosis associated with acute necrotizing endometritis. Only few cases of uterine necrosis after UAE for PPH have been reported to date, and this is an extremely rare case in which clinical symptoms related to uterine necrosis developed only 2 days after UAE.

Keyword

Necrosis; Postpartum hemorrhage; Uterine artery embolization
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