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Ischemic uterine rupture and hysterectomy 3 months after uterine artery embolization
Abraham R Shashoua1, Nelson H Stringer, Julie B Pearlman
1Department of Obstetrics and Gynecology, Weiss Hospital, University of Chicago, IL, USA.
Abstract:
The exact frequency and extent of complications after uterine artery embolization (UAE) have yet to be documented in the literature. Ischemic necrosis and rupture of the uterus is a theoretical concern of this procedure. Rupture of the uterus from any cause is a very serious gynecologic complication requiring immediate surgical intervention to prevent death. Ischemic necrosis and rupture of the uterus can occur months after UAE. In our patient they occurred 3 months after UAE for treatment of symptomatic uterine myomas, and required hysterectomy. To our knowledge, this is the first report of ischemic uterine rupture after UAE in the United States.