title: [Uterine necrosis following pelvic arterial embolisation for postpartum haemorrhage: case report].
abstract: We report a case of uterine necrosis in a 38 year-old patient, who underwent a caesarean section for placenta praevia and an embolisation of the uterine arteries for postpartum haemorrhage. The pelvic embolisation was performed with absorbable gelatine sponge pledgets. This woman presented with abdominal pain and fever three weeks after delivery and a computed tomography scan revealed the presence of gas in the myometrium and endometrium and allowed the diagnosis of uterine necrosis. A total abdominal hysterectomy was performed with adnexal conservation and the diagnosis of uterine necrosis was confirmed histologically. The complications of pelvic embolization and the risks of surgical procedures for the management of intractable obstetric hemorrhage are described.
authors: Service de gynécologie obstétrique, hôpital Beaujon, 100, boulevard du Général-Leclerc, 92110 Clichy, France. olivierpoujade@hotmail.com
authors: O
authors: O
authors: Poujade
authors: A
authors: A
authors: Daher
authors: A
authors: A
authors: Ballout El Maoula
authors: N
authors: N
authors: Aflak
authors: B
authors: B
authors: Bougeois
authors: V
authors: V
authors: Vilgrain
authors: D
authors: D
authors: Luton
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006801:Humans; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D010388:Pelvis / Q000098:blood supply; D010923:Placenta Previa / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D055357:Uterine Artery Embolization / Q000009:adverse effects*; D014599:Uterus / Q000098:blood supply / Q000473:pathology*