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Uterine Rupture After Uterine Artery Embolization for Symptomatic Leiomyomas

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

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

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.

In Brief

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

Author Information

Stanford University Hospital and Clinics, Lucile Packard Children's Hospital at Stanford, and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford California.

Corresponding author: Amanda Yeaton-Massey, MD, Department of Obstetrics and Gynecology, Stanford Hospital and Clinics 300 Pasteur Drive, Mail Code 5317 Stanford, CA 94305-5317; e-mail: amandaym@gmail.com.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2014 by The American College of Obstetricians and Gynecologists.