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Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
Published on: March 3, 2014
Buttock necrosis and paraplegia after bilateral internal iliac artery embolization for postpartum hemorrhage
Abdullah Al-Thunyan1, Obaid Al-Meshal, Hanan Al-Hussainan
1From the Division of Plastic Surgery, King Abdulaziz Medical City, King Fahad National Guard Hospital, and the Departments of Surgery and Obstetrics, King Saud University, Riyadh, Saudi Arabia.
Background:
Endovascular embolization has become part of the management of postpartum hemorrhage.
Case:
We report a case of bilateral extensive gluteal skin and muscle necrosis with concurrent severe lumbosacral plexopathy after bilateral internal iliac artery embolization for postpartum hemorrhage. The ischemic plexopathy was treated conservatively, with a fair outcome. The complex gluteal wound was treated successfully with debridement and skin grafting.
Conclusion:
Pregnancy is known to increase the pelvic collateral blood vessels, and, hence, such a complication in a healthy pregnant woman is extremely rare. The risk of such a severe complication may be minimized by more selective embolization.
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