Bleeding after laparoscopic supracervical hysterectomy managed with cervical artery embolization. A case report.
BACKGROUND
Postoperative bleeding is a known complication after laparoscopic supracervical hysterectomy (LASH), and trachelectomy is the traditional management of significant bleeding.


METHODS
We present the case of a patient with significant postoperative bleeding 1 month after LASH, resulting in symptomatic anemia requiring blood transfusion. Gelfoam embolization of the bilateral cervical arteries was successful in stopping the bleeding. The patient had no further bleeding and had resolution of anemia at 6 months postprocedure.


CONCLUSIONS
Our case demonstrates a successful multidisciplinary and minimally invasive approach to management of postoperative bleeding with bilateral cervical artery embolization and should be considered as a potential treatment option.
Natalie M
NM
Crawford
Clayton K
CK
Trimmer
Hillary E
HE
Myears
David E
DE
Rogers
D000328:Adult; D002584:Cervix Uteri / Q000098:blood supply / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000601:surgery*; D055988:Uterine Artery / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000379:methods*