Acute pulmonary embolism in a patient with cesarean scar pregnancy after receiving uterine artery embolization: a case report

被引:20
作者
Qiu, Jian [1 ]
Fu, Yunfeng [2 ]
Huang, Xiaohong [1 ]
Shu, Longwen [1 ]
Xu, Jiewei [3 ]
Lu, Weiguo [2 ,4 ]
机构
[1] Huzhou Cent Hosp, Dept Obstet & Gynecol, Huzhou, Zhejiang, Peoples R China
[2] Zhejiang Univ, Sch Med, Womens Hosp, Dept Gynecol Oncol, Xueshi Rd 2, Hangzhou 310006, Zhejiang, Peoples R China
[3] Huzhou Cent Hosp, Dept Gen Surg, Huzhou, Zhejiang, Peoples R China
[4] Zhejiang Prov, Womens Reprod Hlth Lab, Hangzhou, Zhejiang, Peoples R China
关键词
pulmonary embolism; cesarean scar pregnancy; uterine artery embolization; THROMBOSIS; FIBROIDS; ANEURYSM;
D O I
10.2147/TCRM.S147754
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Uterine artery embolization (UAE) is considered to be an effective treatment for patients with cesarean scar pregnancy, especially for those presenting uncontrollable hemorrhage. However, it can also cause some potential complications. Pulmonary embolism is a rare but fatal complication in patients treated with UAE. Here, we report a case of a woman who was diagnosed with cesarean scar pregnancy presenting with pulmonary embolism during the operation of dilation and curettage after UAE treatment. Prompt resuscitation was carried out and the patient received anticoagulant treatment immediately. During the follow-up, she recovered well without any complications. We present the clinical details and imaging findings, followed by discussions of the etiology, treatments, and prevention strategies.
引用
收藏
页码:117 / 120
页数:4
相关论文
共 11 条
[1]   Pulmonary embolism: What have we learned since Virchow? - Natural history, pathophysiology, and diagnosis [J].
Dalen, JE .
CHEST, 2002, 122 (04) :1440-1456
[2]   Thrombosis associated with angiogenesis inhibitors [J].
Elice, Francesca ;
Rodeghiero, Francesco ;
Falanga, Anna ;
Rickles, Frederick R. .
BEST PRACTICE & RESEARCH CLINICAL HAEMATOLOGY, 2009, 22 (01) :115-128
[3]   Fatal Pulmonary Embolus After Uterine Artery Fibroid Embolisation [J].
Hamoda, Haitham ;
Tait, P. ;
Edmonds, D. K. .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2009, 32 (05) :1080-1082
[4]   Standard vs Modified Antiplatelet Preparation for Preventing Thromboembolic Events in Patients With High On-Treatment Platelet Reactivity Undergoing Coil Embolization for an Unruptured Intracranial Aneurysm A Randomized Clinical Trial [J].
Hwang, Gyojun ;
Huh, Won ;
Lee, Jin Soo ;
Villavicencio, Jay Bautista ;
Villamor, Reynaldo Benedict V., Jr. ;
Ahn, Seong Yeol ;
Kim, Junhak ;
Chang, Jun Young ;
Park, Soo Joo ;
Park, Nam-Mi ;
Jeong, Eun-A ;
Kwon, O-Ki .
JAMA NEUROLOGY, 2015, 72 (07) :764-772
[5]   Imaging manifestations of complications associated with uterine artery embolization [J].
Kitamura, Y ;
Ascher, SM ;
Cooper, C ;
Allison, SJ ;
Jha, RC ;
Flick, PA ;
Spies, JB .
RADIOGRAPHICS, 2005, 25 :S119-U132
[6]   Spontaneous Regression and Recurrence of a Tumefactive Perivascular Space [J].
Muttikkal, Thomas Jose Eluvathingal ;
Raghavan, Prashant .
NEURORADIOLOGY JOURNAL, 2014, 27 (02) :195-202
[7]   Uterine artery embolization for the treatment of symptomatic fibroids [J].
Ojili, V ;
Bapuraj, JR ;
Suri, V .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2004, 87 (03) :249-251
[8]   Management of acute deep vein thrombosis due to enlarged symptomatic uterine fibroids [J].
Pakiz, Maja ;
But, Igor .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2009, 105 (02) :177-178
[9]   Pulmonary embolism: new treatments for an old problem [J].
Ryan, John .
OPEN ACCESS EMERGENCY MEDICINE, 2016, 8 :87-95
[10]   Complication Rates and Effectiveness of Uterine Artery Embolization in the Treatment of Symptomatic Leiomyomas: A Systematic Review and Meta-Analysis [J].
Toor, Sundeep S. ;
Jaberi, Arash ;
Macdonald, D. Blair ;
McInnes, Mathew D. F. ;
Schweitzer, Mark E. ;
Rasuli, Pasteur .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2012, 199 (05) :1153-1163