title: [Uterine necrosis after arterial embolization for postpartum hemorrhage].
abstract: Radiologic embolization of the uterine arteries is increasingly used to treat severe postpartum hemorrhage, as an alternative to surgical procedures. Guidelines have been published in order to standardize the indications as well as the technique. An important objective was to limit severe complications such as uterine necrosis. We report a case of a uterine necrosis after arterial embolization for severe postpartum hemorrhage due to uterine atony on a uterus with fibroids. This complication occurred despite the use of the recommended technique.
authors.affiliation: Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France.
authors.forename: J
authors.initials: J
authors.lastname: Belghiti
authors.affiliation: Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France.
authors.forename: M
authors.initials: M
authors.lastname: Tassin
authors.affiliation: Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France.
authors.forename: C
authors.initials: C
authors.lastname: Raiffort
authors.affiliation: Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
authors.forename: M
authors.initials: M
authors.lastname: Zappa
authors.affiliation: Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
authors.forename: O
authors.initials: O
authors.lastname: Poujade
authors.affiliation: Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
authors.forename: H
authors.initials: H
authors.lastname: Bout
authors.affiliation: Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France. Electronic address: laurent.mandelbrot@lmr.aphp.fr.
authors.forename: L
authors.initials: L
authors.lastname: Mandelbrot
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000150:complications; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D055988:Uterine Artery; D014593:Uterine Inertia; D014594:Uterine Neoplasms / Q000150:complications; D014599:Uterus / Q000473:pathology*