Uterine necrosis following selective embolization for postpartum hemorrhage: report of four cases and review of literature

被引:2
作者
Lee, K. [1 ]
Lee, S. [1 ]
Lee, H. N. [1 ]
Lim, H. [2 ]
Kim, I. J. [2 ]
Park, I. Y. [3 ]
Kim, M. J. [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Bucheon St Marys Hosp, Dept Obstet & Gynecol, 327 Sosa Ro, Bucheon 14647, Gyeonggi Do, South Korea
[2] Catholic Univ Korea, Coll Med, Bucheon St Marys Hosp, Dept Radiol, Bucheon, South Korea
[3] Catholic Univ Korea, Coll Med, Seoul St Marys Hosp, Dept Obstet & Gynecol, Seoul, South Korea
关键词
Postpartum hemorrhage; Pelvic vessel embolization; Ultrasound; Uterine necrosis; PELVIC ARTERIAL EMBOLIZATION; MANAGEMENT; FERTILITY;
D O I
10.12891/ceog4935.2019
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Uterine necrosis is one of the rare complications that may follow uterine arterial embolization for postpartum hemorrhage (PPH), and its incidence remains unknown. The authors report four cases of uterine necrosis in Korea. The mean time interval between uterine artery embolization (UAE) and diagnosis of uterine necrosis was 72 days. Patients' main symptoms were abdominal pain, fever, profuse vaginal discharge, and vaginal bleeding. Decisions related to management depended on the condition of the patient and the patient's desire regarding conservation of the uterus. Based on these cases, the authors suggest helpful decisions for the therapeutic guidelines for uterine necrosis after UAE.
引用
收藏
页码:1020 / 1025
页数:6
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