Abstract
ABSTRACT Uterine artery embolization (UAE), a minimally invasive procedure used for controlling and managing profuse bleeding in conditions like uterine fibroids, and uterine hemorrhage, in cases of intractable postpartum hemorrhage (PPH). A wide array of complications due to UAE includes pulmonary embolism, uterine ischemia, necrosis, sepsis, and death. A 27 years old married woman (parity 1+2) presented with complaints of a mass protruding of the vagina with dirty brown vaginal discharge. Following UAE was done for postpartum hemorrhage (PPH) she had developed fever and burning micturition on which ultrasound was done to show an anteverted, enlarged, bulky uterus, with multiple endogenic foci, with endometrial canal and adjacent myometrium suggestive of infective pathology. In this case report complications of UAE for the management of PPH were discussed, however, research is required to comprehend the causes of uterine necrosis following uterine artery embolization and its management. Keywords: Uterine Artery Embolization; Postpartum Hemorrhage; Uterine Necrosis; Pathology.
Highlights
Uterine artery embolization (UAE) is a procedure done for intractable postpartum hemorrhage (PPH), which while preserving fertility can save lives[1,2]
Complications of UAE include postembolization syndrome, post-procedure pain, infection, persistent per vagina (PV) discharge, fibroid passage PV, endometrial atrophy which can lead to secondary amenorrhea, nontarget embolization, and uterine necrosis[3]
UAE can lead to complications including postembolization syndrome, post-procedure pain, infection, endometrial atrophy leading to secondary amenorrhea, and uterine necrosis[6,7]
Summary
Uterine artery embolization (UAE) is a procedure done for intractable postpartum hemorrhage (PPH), which while preserving fertility can save lives[1,2]. At the time the patient was 26 weeks pregnant and presented with excessive vomiting and shortness of breath Her U/S abdomen of the liver showed fatty changes while her CXR appreciated a pulmonary. A U/S pelvis appreciated an anteverted, enlarged bulky uterus- multiple endogenic foci with dirty shadowing representing air noted with endometrial canal and adjacent myometrium suggestive of endometritis (Table 1) She was managed conservatively and transfused blood. After 5 weeks, she complained of something coming out of her vagina in the washroom during micturition She went to another hospital and got her problem relieved by manual replacement by hand in the labor room and was referred to Ziauddin Hospital North for further management. The report associated necrosis in the leiomyomas with pregnancy and appreciated embolizing material in the blood vessels
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
