title: Buttock necrosis and paraplegia after bilateral internal iliac artery embolization for postpartum hemorrhage.
abstract: BACKGROUND
  Endovascular embolization has become part of the management of postpartum hemorrhage.
  
  
  METHODS
  We report a case of bilateral extensive gluteal skin and muscle necrosis with concurrent severe lumbosacral plexopathy after bilateral internal iliac artery embolization for postpartum hemorrhage. The ischemic plexopathy was treated conservatively, with a fair outcome. The complex gluteal wound was treated successfully with debridement and skin grafting.
  
  
  CONCLUSIONS
  Pregnancy is known to increase the pelvic collateral blood vessels, and, hence, such a complication in a healthy pregnant woman is extremely rare. The risk of such a severe complication may be minimized by more selective embolization.
authors: From the Division of Plastic Surgery, King Abdulaziz Medical City, King Fahad National Guard Hospital, and the Departments of Surgery and Obstetrics, King Saud University, Riyadh, Saudi Arabia.
authors: Abdullah
authors: A
authors: Al-Thunyan
authors: Obaid
authors: O
authors: Al-Meshal
authors: Hanan
authors: H
authors: Al-Hussainan
authors: Mohammed H
authors: MH
authors: Al-Qahtani
authors: Amel A F
authors: AAF
authors: El-Sayed
authors: Mohammad M
authors: MM
authors: Al-Qattan
mesh_terms: D000328:Adult; D002081:Buttocks / Q000473:pathology* / Q000601:surgery; D003646:Debridement; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D005781:Gelatin Sponge, Absorbable; D006801:Humans; D007083:Iliac Artery; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology*; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D020426:Sciatic Neuropathy / Q000209:etiology; D016896:Treatment Outcome