[Clinical analysis of lower uterine segment pregnancy with heavy hemorrhage in inducing abortion].
OBJECTIVE
To discuss the diagnosis and conservation managements for the lower uterine segment pregnancy complicating the first trimester inducing abortion cases.


METHODS
Four cases of lower uterine segment pregnancy that had heavy hemorrhage and received bilateral uterine artery embolization (UAE) were analysed.


RESULTS
Four patients with previous caesarean section had torrential hemorrhage when they received inducing abortion in the first trimester. Digital subtractive angiography (DSA) showed branches of uterine artery were bleeding, the site of the branches were equivalent to the lower segment of uterus. UAE could control heavy uterine bleeding satisfactory and save their uterus successfully. One of four patients asked hysterectomy after UAE, her pathological examination of the operative specimen confirmed "lower uterine segment pregnancy with placenta increta".


CONCLUSIONS
Previous caesarean section is one risk factor of lower uterine segment pregnancy, UAE is one of the best satisfactory conservation managements; the main prevent methods are controlling caesarean section rate and paying attention to the contraception.
Liu
Xin-yan
XY
Department of Obstetrics and Gynecology, Peking Union Medical Collage Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Fan
Guang-sheng
GS
Jin
Zheng-yu
ZY
Yang
Ning
N
Jiang
Yu-xin
YX
Gai
Ming-ying
MY
Guo
Li-na
LN
Wang
You-fang
YF
Lang
Jing-he
JH
D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000000981:diagnostic imaging / Q000628:therapy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications*; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery / Q000628:therapy*