title: [Postpartum hemorrhage by vaginal laseration: new case and improved management].
abstract: We describe a case of uterine necrosis, following Gelitaspon(®) embolization for postpartum hemorrhage resulting from vaginal laceration. Previous cases published help to improve the safety of this effective method by showing the risk factors, as particles sizes, ultraselective embolization, prevention of infection. Controlling bleeding by surgery is the priority when hemorragy is due to laceration without uterin atony. In case of failure, embolization is an option which should be proposed without delay. Uterine necrosis should be suspected in case of postembolization septic syndrome.
authors.affiliation: Service de gynécologie obstétrique, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France. Electronic address: laurencegitz@voila.fr.
authors.forename: L
authors.initials: L
authors.lastname: Gitz
authors.affiliation: Service de gynécologie obstétrique, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Picone
authors.affiliation: Service d'anatomie pathologique, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France.
authors.forename: A-E
authors.initials: AE
authors.lastname: Mas
authors.affiliation: Service de radiologie, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Dagher
authors.affiliation: Service de gynécologie obstétrique, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France. Electronic address: xavier.deffieux@abc.aphp.fr.
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D006473:Postpartum Hemorrhage / Q000209:etiology* / Q000628:therapy*; D011247:Pregnancy; D055357:Uterine Artery Embolization / Q000009:adverse effects*; D014599:Uterus / Q000473:pathology*; D014621:Vagina / Q000293:injuries*
keywords: Embolisation utérine artérielle; Hémorragie de la délivrance; Nécrose utérine; Plaies cervicovaginales; Postpartum hemorrhage; Uterine artery embolization; Uterine necrosis; Vaginal laceration