Therapeutic uterine artery embolization in a life-threatening postpartum hemorrhage: a case report

Publish Year: 1396
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_RCM-4-3_008

تاریخ نمایه سازی: 18 تیر 1398

Abstract:

Postpartum hemorrhage (PPH) is one of the most common complications of delivery and is a major cause of maternal morbidity and mortality. The aim of this report is to introduce a case of therapeutic uterine artery embolization (UAE) in a life-threatening postpartum hemorrhage. A 26-year old G3P3 woman with severe postpartum hemorrhage after 50 days of delivery referred to the emergency unit of an academic hospital of Mashhad University of Medical Sciences, Iran with third episode of vaginal bleeding. Gynecological examination and sonography were completely normal. Hypovolemic shock that was managed by fluid and blood replacement-therapy with uterotonic medical agents including oxytocin infusion (40 unit/lit), injection of 0.2 mg methyl-ergonovin and 1000 µg rectal misoprostol. Uterine artery embolization was planned due to unremitting severe hemorrhage. Embolization resulted in successful control of hemorrhage and the patient was discharged. At 6 months follow-up, no adverse events pertinent to embolization were noted. Therefore, UAE is suggested as a useful method for controlling intractable bleeding due to postpartum hemorrhage.

Authors

Leila Pourali

Department of Obstetrics and Gynecology, Women s Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Sedigh Ayati

Department of Obstetrics and Gynecology, Women s Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Masoud Pezeshkirad

Department of Radiology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mansooreh Sadat Golmohammadi

Department of Obstetrics and Gynecology, Women s Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

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