title: Acute Ovarian Insufficiency and Uterine Infarction Following Uterine Artery Embolization for Postpartum Hemorrhage.
abstract: Uterine artery embolization for intractable postpartum hemorrhage saves lives while preserving fertility. The procedure-related risks of uterine infarction and ovarian insufficiency are rare. A primparous patient underwent bilateral internal hypogastric artery embolization to control severe postpartum hemorrhage following primary cesarean section. The bleeding continued, and a repeat aortogram demonstrated significant filling of the uterus from an anomalous proximal take off of the right uterine artery and from the left ovarian artery. Further embolization was required to control the bleeding. The patient developed acute primary ovarian insufficiency within two weeks of the procedure and subsequently presented with uterine infarction necessitating hysterectomy. This case demonstrates the increased risk of acute ovarian insufficiency and uterine infarction following uterine artery embolization for postpartum hemorrhage in the settings of aberrant pelvic vasculature.
authors.affiliation: Department of Obstetrics and Gynecology, Divisions of Reproductive Endocrinology and Infertility, University of Wisconsin, USA.
authors.forename: Sarah Z
authors.initials: SZ
authors.lastname: Elsarrag
authors.affiliation: Department of Obstetrics and Gynecology, Divisions of Reproductive Endocrinology and Infertility, University of Wisconsin, USA.
authors.forename: Abigail R
authors.initials: AR
authors.lastname: Forss
authors.affiliation: Department of Obstetrics and Gynecology, Yale University School of Medicine, USA ; County Obstetrics & Gynecology Group, New Haven, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Richman
authors.affiliation: Department of Obstetrics and Gynecology, Divisions of Reproductive Endocrinology and Infertility, University of Wisconsin, USA.
authors.forename: Sana M
authors.initials: SM
authors.lastname: Salih
keywords: fertility preservation; infertility; menopause; ovarian insufficiency; pelvic artery embolization; postpartum hemorrhage; uterine infarction