A Case of Preeclampsia with Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage.
Journal
Case reports in obstetrics and gynecology
ISSN: 2090-6684
Titre abrégé: Case Rep Obstet Gynecol
Pays: United States
ID NLM: 101576454
Informations de publication
Date de publication:
2022
2022
Historique:
received:
15
11
2021
revised:
13
03
2022
accepted:
25
04
2022
entrez:
27
5
2022
pubmed:
28
5
2022
medline:
28
5
2022
Statut:
epublish
Résumé
Uterine necrosis is a rare complication in uterine artery embolization (UAE) for postpartum hemorrhage (PPH). Preeclampsia (PE) is a condition characterized with systemic endothelial damage and intravascular volume depletion. Whether a patient with PE is at high risk for uterine necrosis after UAE for PPH has been unknown. A 30-year-old primipara woman was diagnosed with PE based on hypertension and proteinuria during delivery. UAE was performed for PPH after forceps delivery. After UAE, the patient presented with pleural effusion and massive ascites as well as persistent fever unresponsive to antibiotics. Ultrasonography and contrast-enhanced magnetic resonance imaging (MRI) led to the diagnosis of uterine necrosis, for which we performed total laparoscopic hysterectomy. It should be kept in mind that patients with PE associated with massive ascites may be at high risk for uterine necrosis after UAE due to decreased uterine perfusion. Therefore, it is important to pay attention to persistent symptoms such as fever and abdominal pain after UAE to diagnose uterine necrosis.
Identifiants
pubmed: 35619878
doi: 10.1155/2022/2859766
pmc: PMC9130014
doi:
Types de publication
Case Reports
Langues
eng
Pagination
2859766Informations de copyright
Copyright © 2022 Midori Yoshikawa et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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