Uterine necrosis. A rare complication of embolisation due to post-partum haemorrhage.

Journal: Journal Of Gynecology Obstetrics And Human Reproduction
Published:
Abstract

Post-partum haemorrhage (PPH) is a major cause of maternal mortality, according to the WHO. Early PPH occurs in 5% to 15% of births. In 80% of cases, uterine atonia is the cause. We describe a case of uterine necrosis following uterine artery embolization (UAE). due to PPH. The patient was a 37-year-old woman who had a normal delivery after her second pregnancy, but experienced haemorrhage due to uterine atonia that failed to respond to drugs. She underwent UAE with Spongostan® with no complications. The peri-partum period was normal. At 16 days, she consulted due to recurrence of fever. Magnetic resonance imaging confirm the diagnosis of uterine necrosis. Abdominal hysterectomy was performed.

Authors
Esther Ruiz Sánchez, Javier Peinado Rodenas, Leyre Gil Martínez Acacio, Marco Arones Collantes, Miguel Villar García, Juan García De La Torre, Antonio Amezcua Recover
Relevant Conditions

Necrosis, Hysterectomy