Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (6): 1020-1025    DOI: 10.12891/ceog4935.2019
Case Report Previous articles | Next articles
Uterine necrosis following selective embolization for postpartum hemorrhage: report of four cases and review of literature
K. Lee1, S. Lee1, H. N. Lee1, H. Lim2, I. J. Kim2, I. Y. Park3, M. J. Kim1, *()
1Department of Obstetrics and Gynecology, Bucheon St. Mary’s Hospital. College of Medicine, The Catholic University of Korea, Bucheon, Korea
2Department of Radiology, Bucheon St. Mary's Hospital. College of Medicine, The Catholic University of Korea, Bucheon, Korea
3Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic versity of Korea, Seoul, Korea
Download:  PDF(1500KB)  ( 357 ) Full text   ( 6 )
Export:  BibTeX | EndNote (RIS)      
Abstract  

Uterine necrosis is one of the rare complications that may follow uterine arterial embolization for postpartum hemorrhage (PPH), and its incidence remains unknown. The authors report four cases of uterine necrosis in Korea. The mean time interval between uterine artery embolization (UAE) and diagnosis of uterine necrosis was 72 days. Patients' main symptoms were abdominal pain, fever, profuse vaginal discharge, and vaginal bleeding. Decisions related to management depended on the condition of the patient and the patient's desire regarding conservation of the uterus. Based on these cases, the authors suggest helpful decisions for the therapeutic guidelines for uterine necrosis after UAE.

Key words:  Postpartum hemorrhage      Pelvic vessel embolization      Ultrasound      Uterine necrosis     
Published:  10 December 2019     
*Corresponding Author(s):  MIN JEONG KIM     E-mail:  poouh74@catholic.ac.kr

Cite this article: 

K. Lee, S. Lee, H. N. Lee, H. Lim, I. J. Kim, I. Y. Park, M. J. Kim. Uterine necrosis following selective embolization for postpartum hemorrhage: report of four cases and review of literature. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1020-1025.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4935.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I6/1020

[1] H.M. Kim, J.Y. Lee, W.J. Seong. Multidetector computed tomography to predict heavy bleeding and need for angiographic embolization in patients with postpartum hemorrhage[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 478-482.
[2] C. Stenfelt, L. Ydenius, S. Lindberg, J. Spira, G. Edelstam. Effects of the colour and design of a new pelvic examination chair on comfort during gynaecological examination[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 556-559.
[3] A. Vatopoulou, A. Papanikolaou. Asymptomatic adnexal mass in postmenopausal women[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 320-323.
[4] S. Coremans, J. Muys, J. De Winter, H. De Raedemaecker, Y. Jacquemyn. Ultrasound by midwives in the postpartum period: feasibility, reproducibility and midwives’ perspectives[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 348-354.
[5] K. Tamura, H. Takahashi, S. Uchida, M. Ogoyama, R. Usui, S. Matsubara. Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 405-408.
[6] I. H. Kalelioglu, S. G. Erzincan, R. Has, A. Yuksel. Forehead and facial heights in Down syndrome and normal fetuses in the midtrimester of pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 220-227.
[7] C. Chan, J.W. Wang, C.W. Wang, C.W. Chang. A pitfall in ultrasonographic diagnosis–heterotopic cornual pregnancy initially misdiagnosed as leiomyoma[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 296-298.
[8] C. Chollet, B. Andre, M. Voglimacci, A. Ghassani, O. Parant, P. Guerby. Perinatal outcomes of second trimester antenatal genital bleeding[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 105-110.
[9] A.P. Londero, S. Visentin, L. Marin, M. C. Bongiorno, D. Visentin, S. Bertozzi, E. Cosmi, A Cagnacci, L. Driul. Second trimester prediction of small for gestational age and intrauterine growth restriction[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 70-74.
[10] S. B. Cohen, M. Shapira, A. Baron, J. Bouaziz, R. Mashiach, M. Goldenberg, R. Orvieto. Ultrasonography-guided hysteroscopic tubal catheterization of proximally occluded tubes - reproductive outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 872-875.
[11] G. Szabó, J. Rigó Jr.. Prenatal ultrasound diagnosis of abdominal pregnancy of ovarian origin[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 977-979.
[12] T. Murata, S. Suzuki, H. Kyozuka, M. Chishiki, H. Tanaka, K. Fujimori. Fetal primary volvulus with abnormal heart rate patterns on cardiotocography[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1003-1004.
[13] I. Korkontzelos, A. Vlachioti, P. Mavridou, A. Rapi, G. Tsanadis, T. Stefos. Heterotopic triplet pregnancy after in vitro fertilization and intracytoplasmatic sperm injection complicated with ovarian hyperstimulation syndrome single twin fetal demise and cervical incompetence: a successful obstetrical outcome[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1007-1010.
[14] T. Mihailovic, B. Kuanova, M. Terzic, S. Terzic, N. Arsenovic. Bilateral pulmonary agenesis diagnosed in the 13 th week of gestation - a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 479-481.
[15] C. Zhongping, W. Zhen, W. Ting, T. Junzhang, Z. Sujin, Z. Haichun. Prenatal three-dimensional ultrasound detection of left pulmonary artery sling[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 500-502.
No Suggested Reading articles found!