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Case of uterine rupture after multiple intrauterine operations and uterine artery embolization
Author(s) -
Ando Miho,
Goto Maki,
Matsuoka Sakiko,
To Yoko,
Eguchi Fuyuki,
Tsujioka Hiroshi
Publication year - 2019
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13881
Subject(s) - placenta accreta , medicine , uterine artery embolization , uterine rupture , hysterectomy , uterus , uterine artery , obstetrics , placenta , pregnancy , gynecology , fetus , surgery , gestation , genetics , biology
Uterine rupture is rare but may result in both maternal and fetal death. The factors involved in such deaths depend on each case, but uterine artery embolization (UAE), the common treatment for hemorrhage, is possibly one factor. UAE may be related to uterine rupture or placenta accreta, but few data exist regarding UAE and uterine rupture. Here, we present a case of uterine rupture associated with placenta accreta that occurred after UAE. The case is a 35‐year‐old woman who became pregnant after undergoing UAE because of treatment for placental polyps twice. She underwent emergency cesarean delivery for uterine rupture. At the same time, she underwent hysterectomy because of placenta accreta. The uterus ruptured at the location where the polyp had emerged previously. Therefore, we present a case where UAE, uterine rupture and placenta accreta are possibly associated, and highlight the need for caution when performing UAE multiple times.