Successful pregnancy after bilateral hypogastric artery ligation. A case report.
BACKGROUND
Selective embolization of the hypogastric arteries is an effective, nonsurgical alternative for the management of obstetric and gynecologic hemorrhage. Successful pregnancy following bilateral hypogastric artery occlusion has been reported, but experience is extremely limited.


METHODS
We report a case of successful pregnancy in a patient previously treated with bilateral hypogastric artery embolization. Although a diminution of fetal growth toward term was observed, the fetus tolerated labor and subsequently thrived, without sequelae.


CONCLUSIONS
This case supports the possibility of normal labor for women who conceive after bilateral hypogastric artery embolization.
Casele
H L
HL
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Womens Hospital, Pennsylvania, USA.
Laifer
S A
SA
D000328:Adult; D001158:Arteries; D004621:Embolization, Therapeutic; D005260:Female; D005317:Fetal Growth Retardation; D006801:Humans; D007083:Iliac Artery; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome; D014599:Uterus / Q000098:blood supply*