title: [Buttock necrosis after subtotal hysterectomy, bilateral internal iliac arteries ligature and pelvic embolization for control of severe post-partum haemorrhage].
abstract: Post-partum haemorrhage remains a major cause of maternal mortality. Surgical management may be needed in patients with hemodynamic instability. Arterial embolization may be needed in case of persisting haemorrhage despite initial surgical management. We report a case of buttock necrosis occurring after pelvic embolization to control refractory post-partum haemorrhage and failed subtotal hysterectomy with bilateral internal iliac arteries ligation. To the best of our knowledge, this is the first case of buttock necrosis complicating a severe post-partum haemorrhage reported in the literature.
authors.affiliation: Service de maternité, hôpital Saint-Vincent-de-Paul, groupe hospitalier de l'université catholique de Lille, 51, boulevard de Belfort, BP 387, 59020 Lille, France. joel.zanati@numericable.fr
authors.forename: J
authors.initials: J
authors.lastname: Zanati
authors.forename: B
authors.initials: B
authors.lastname: Resch
authors.forename: H
authors.initials: H
authors.lastname: Roman
authors.forename: G
authors.initials: G
authors.lastname: Brabant
authors.forename: L
authors.initials: L
authors.lastname: Sentilhes
authors.forename: E
authors.initials: E
authors.lastname: Verspyck
authors.forename: E
authors.initials: E
authors.lastname: Henriet
authors.forename: F
authors.initials: F
authors.lastname: Sergent
authors.forename: D
authors.initials: D
authors.lastname: Houzé de L'aulnoit
authors.forename: L
authors.initials: L
authors.lastname: Marpeau
authors.forename: E
authors.initials: E
authors.lastname: Clavier
mesh_terms: D000328:Adult; D002081:Buttocks / Q000473:pathology*; D005260:Female; D005602:France; D006801:Humans; D007044:Hysterectomy; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery*; D008026:Ligation; D009336:Necrosis; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology*; D006473:Postpartum Hemorrhage / Q000473:pathology / Q000601:surgery*; D013921:Thrombocytopenia / Q000473:pathology; D055357:Uterine Artery Embolization / Q000009:adverse effects*