title: Super-selective arterial embolization for uncontrolled bleeding in abdominal pregnancy.
abstract: BACKGROUND
  Abdominal pregnancy with massive bleeding is life-threatening. Thus, multimodal treatment approaches are necessary.
  
  
  METHODS
  A 36-year-old woman with abdominal pregnancy at 14 weeks of gestation presented with abdominal pain due to intraabdominal bleeding. Laparotomy demonstrated massive bleeding from the placenta implanted in the right lower quadrant involving the posterior uterine wall, right adnexa, and small intestine. Because attempted removal of the placenta aggravated the bleeding, only the fetus was removed. To stop abdominal bleeding, embolization of the placental vasculature was successfully performed with a 2.0-F microcatheter after identification of the bleeding point with computed tomography arteriography. The patient was the treated with methotrexate.
  
  
  CONCLUSIONS
  Super-selective arterial embolization with a microcatheter is a useful treatment of abdominal bleeding due to abdominal pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Oki
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Baba
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yoshinaga
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Douchi
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000628:therapy*