| Literature DB >> 32325270 |
Esther Ruiz Sánchez1, Javier Peinado Rodenas2, Leyre Gil Martínez-Acacio3, Marco Arones Collantes3, Miguel Villar García4, Juan Pablo García de la Torre5, Antonio N Amezcua Recover3.
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.Entities:
Keywords: Post-partum haemorrhage; abdominal hysterectomy; magnetic resonance; uterine artery embolization; uterine necrosis
Year: 2020 PMID: 32325270 DOI: 10.1016/j.jogoh.2020.101773
Source DB: PubMed Journal: J Gynecol Obstet Hum Reprod ISSN: 2468-7847