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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3182a46df9
Case Reports

Uterine Rupture After Uterine Artery Embolization for Symptomatic Leiomyomas

Yeaton-Massey, Amanda MD; Loring, Megan MD; Chetty, Shilpa MD; Druzin, Maurice MD

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BACKGROUND: There are few data regarding safety of pregnancy after uterine artery embolization. However, numerous women desire future fertility after this procedure. Uterine rupture without a history of cesarean delivery or uterine scarring is an exceedingly rare complication in pregnancy.

CASE: We report a case of uterine rupture in a primigravid woman after uterine artery embolization. Her pregnancy was also complicated by placenta previa with placenta increta, resulting in a favorable neonatal outcome in an otherwise life-threatening situation for mother and fetus.

CONCLUSION: Uterine artery embolization is a risk factor for abnormal placentation and uterine rupture in subsequent pregnancies.

© 2014 by The American College of Obstetricians and Gynecologists.


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