Pregnancy with asymptomatic uterine complete rupture after uterine artery embolization for postpartum hemorrhage.

Abstract

OBJECTIVE:

Uterine artery embolization has become an effective treatment for postpartum hemorrhage. The safety of pregnancy after uterine artery embolization for postpartum hemorrhage has been established.

CASE REPORT:

We present the case of a pregnant woman with asymptomatic uterine complete rupture who underwent uterine artery embolization for a previous placenta previa. She had not been diagnosed with uterine rupture until cesarean section was performed, and fortunately, we obtained the best maternal and neonatal outcomes.

CONCLUSION:

Many studies have been reported that uterine artery embolization for postpartum hemorrhage did not affect subsequent pregnancy outcomes. However, we report that this procedure contains a potential risk for asymptomatic uterine rupture in a subsequent pregnancy. Although it is difficult to diagnose uterine rupture without symptoms, the obstetrician should be aware of the possibility of uterine rupture.

• Authors: Hiroaki Soyama, Morikazu Miyamoto, Hidenori Sasa, Hiroki Ishibashi, Masashi Takano, Kenichi Furuya
• Journal: Taiwanese journal of obstetrics & gynecology (Taiwan J Obstet Gynecol) Vol. 56 Issue 4 Pg. 538-540 (Aug 2017) ISSN: 1875-6263 [Electronic] China (Republic : 1949- )
• PMID: 28805614 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017. Published by Elsevier B.V.

Topics

• Asymptomatic Diseases
• Cesarean Section
• Female
• Humans
• Placenta Previa (therapy)
• Postpartum Hemorrhage (therapy)
• Pregnancy
• Uterine Artery Embolization (adverse effects)
• Uterine Rupture (etiology)