Uterine necrosis after partial obstruction of the uterine artery via selective embolization in postpartum hemorrhage: A case report.

Lee, Ji Yeon; Hwang, Jong Yun; Lee, Hyang Ah; Lee, Dong Hun; Lee, Seung Koo

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(5):576-580.
Published online May 1, 2009.

Uterine necrosis after partial obstruction of the uterine artery via selective embolization in postpartum hemorrhage: A case report.

Ji Yeon Lee, Jong Yun Hwang, Hyang Ah Lee, Dong Hun Lee, Seung Koo Lee

¹Department of Obstetrics and Gynecology, School of Medicine, Kangwon National University, Chuncheon, Korea. easehwang@yahoo.co.kr
²Department of Pathology, School of Medicine, Kangwon National University, Chuncheon, Korea.

Abstract

Selective uterine arterial embolization is widely used in the management of obstetric hemorrhage. Owing to the physiological changes associated with pregnancy and selection of uterine arteries, ischemic injury after uterine arterial embolization in postpartum bleeding is rare. In previous reports, the known causes of ischemic injury after embolization are using the too small particle and complete occlusion of fine branch of uterine artery with absence of collateral ovarian artery. We experienced uterine necrosis despite partial obstruction of uterine arteries following the selective embolization. We report this case with brief review of literature

Key Words: Uterine artery embolization, Postpartum hemorrhage, Uterine necrosis