Uterine artery embolization using gelatin sponge particles performed due to massive vaginal bleeding caused by ectopic pregnancy within a cesarean scar: a case study.
A pregnancy located within a cesarean scar is the rarest form of ectopic pregnancy. We present a case of a 34-year-old woman with a history of one cesarean section (gravida 2, para 1) admitted to the hospital at 9 weeks of gestation due to vaginal bleeding, initially diagnosed as a missed abortion. During the hospitalization spontaneous abortion took place, and the patient was qualified for dilatation and curettage. After the procedure massive vaginal bleeding occurred, a cesarean scar pregnancy was diagnosed, and uterine artery embolization (UAE) using gelatin sponge particles was performed. The treatment was successful. Our case shows that UAE might be a life-saving procedure in cesarean scar pregnancy hemorrhages. Absorbable properties of gelatin sponge particles reduce the risk of adverse effect on fertility.
Department of Gynecology, Medical University of Lublin, Poland. slavowo7572@gmail.com
Sławomir
S
Wozniak
Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland.
Krzysztof
K
Pyra
Department of Gynecology, Medical University of Lublin, Poland.
Magdalena
M
Kłudka-Sternik
Department of Gynecology, Medical University of Lublin, Poland.
Piotr
P
Czuczwar
Department of Gynecology, Medical University of Lublin, Poland.
Piotr
P
Szkodziak
Department of Gynecology, Medical University of Lublin, Poland.
Tomasz
T
Paszkowski
Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland.
Małgorzata
M
Sczerbo-Trojanowska
D000022:Abortion, Spontaneous; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000601:surgery*