Embrittlement of uterus after uterine artery embolization: a
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Introduction
Uterine artery embolization (UAE) is a common and minimally invasive treatment for postpartum hemorrhage (PPH).1) It has become an alternative for hysterectomy due to uncontrolled postpartum hemorrhage, especially for women who have desire for subsequent pregnancy. UAE has also been used for gynecological disorders such as uterine fibroids as well.2) However, UAE has a possibility to lead to severe side effects in low frequency, such as infertility, uterine myometrium necrosis and in consequence uterine rupture of subsequent pregnancy.3,4,5,6,7,8) Here, we present a case of uterine embrittlement in a patient who had UAE for PPH.

Case report
A 30-year-old gravida 0, para 0 woman delivered a baby by vacuum extraction at private clinic. Postpartum hemorrhage became 1,940 ml and she was transferred to our hospital for PPH. The vital signs at our hospital were as follows; heart rate 123/min, blood pressure 126/75 mmHg, thus shock index was nearly one. Blood examination revealed 3.3 g/dl of low hemoglobin. Left side of the vulva was swelled and huge hematoma was found inside the vaginal wall. However, we couldn’t detect where the bleeding was come from. Japanese Society of interventional Radiology recommends in guideline that embolization of bilateral uterine arteries in case of bleeding of unknown source for PPH, therefore, UAE was chosen for hemostasis.....

https://www.jstage.jst.go.jp/article/jsshp/4/1/4_HRP2015-017/_html
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