title: Shortened cervix in the subsequent pregnancy after embolization for postpartum cervical hemorrhage.
abstract: Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization. Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards. Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.
authors.affiliation: Department of Obstetrics and Gynecology, Blekinge Hospital, Lasarettsvägem 38, 37185 Karlskrona, Sweden.
authors.forename: Zoltan
authors.identifier: 0000-0001-7485-9895
authors.initials: Z
authors.lastname: Kozinszky
authors.affiliation: Department of Obstetrics and Gynecology, Women and Children's Division, Kirkeveien 64 A, 0364 Oslo, Norway.
authors.forename: Sverre
authors.initials: S
authors.lastname: Sand
authors.affiliation: Department of Radiology, Oslo University Hospital, Ullevaal, Kirkeveien 166, N-0407 Oslo, Norway.
authors.forename: Nils-Einar
authors.initials: NE
authors.lastname: Kløw
authors.affiliation: Department of Obstetrics and Gynecology, Women and Children's Division, Kirkeveien 64 A, 0364 Oslo, Norway.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Hald