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Placenta accreta following uterine artery embolization
Hironori Takahashi1, Satoshi Hayashi, Kentaro Matsuoka
1Department of Perinatal Medicine and Maternal Care, National Center for Child Health and Development, Tokyo, Japan. hironori@alto.ocn.ne.jp
Taiwanese Journal of Obstetrics & Gynecology
|August 17, 2010
Summary
Pregnancy after uterine artery embolization (UAE) for leiomyoma can lead to placenta accreta, a serious complication. Early detection and careful management are crucial for successful outcomes in these high-risk pregnancies.
Area of Science:
- Reproductive medicine
- Gynecologic surgery
- Obstetrics
Background:
- Uterine artery embolization (UAE) is a common treatment for symptomatic leiomyoma.
- Pregnancy following UAE has been reported, but risks remain unclear.
- Leiomyomas are benign tumors of the uterine smooth muscle.
Observation:
- A case of pregnancy following UAE for leiomyoma is presented.
- The patient delivered prematurely at 34 weeks.
- The placenta was located on an interstitial leiomyoma.
Findings:
- The patient experienced retained placenta and severe postpartum hemorrhage.
- Histological examination confirmed placenta accreta.
- Abnormal placental adherence was linked to implantation on a leiomyoma with a hyperechoic rim.
Implications:
- Placenta accreta is a potential complication of pregnancy after UAE.
- Identifying leiomyomas with a hyperechoic rim may indicate a higher risk.
- This case highlights the need for vigilance in managing pregnancies post-UAE.
