title: Ischemic uterine rupture and hysterectomy 3 months after uterine artery embolization.
abstract: The exact frequency and extent of complications after uterine artery embolization (UAE) have yet to be documented in the literature. Ischemic necrosis and rupture of the uterus is a theoretical concern of this procedure. Rupture of the uterus from any cause is a very serious gynecologic complication requiring immediate surgical intervention to prevent death. Ischemic necrosis and rupture of the uterus can occur months after UAE. In our patient they occurred 3 months after UAE for treatment of symptomatic uterine myomas, and required hysterectomy. To our knowledge, this is the first report of ischemic uterine rupture after UAE in the United States.
authors.affiliation: Department of Obstetrics and Gynecology, Weiss Hospital, University of Chicago, IL, USA.
authors.forename: Abraham R
authors.initials: AR
authors.lastname: Shashoua
authors.forename: Nelson H
authors.initials: NH
authors.lastname: Stringer
authors.forename: Julie B
authors.initials: JB
authors.lastname: Pearlman
authors.forename: Behnaz
authors.initials: B
authors.lastname: Behmaram
authors.forename: Erica A
authors.initials: EA
authors.lastname: Stringer
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007511:Ischemia / Q000209:etiology; D007889:Leiomyoma / Q000628:therapy; D014594:Uterine Neoplasms / Q000628:therapy; D014597:Uterine Rupture / Q000209:etiology*; D014599:Uterus / Q000098:blood supply*