[Uterine artery embolisation in massive vaginal bleeding in ectopic pregnancy--case report]

Implantation of the ovum within the scar after cesarean section is the rarest form of ectopic pregnancy. We present the case of 32-year-old patient with vaginal bleeding in 10th week of pregnancy. Missed abortion was diagnosed. Previous pregnancy was terminated by caesarean section. During hospitalization spontaneous abortion had place. The patient was qualified to curettage after which massive vaginal bleeding occurred. Ectopic pregnancy in the scar after cesarean section was diagnosed. Because of the patients age and desire to preserve fertility, embolization of the uterine artery was performed. Gelatine sponge, unstable embolic material was used. The procedure successfully stopped the bleeding. Six months after embolization patient feels well and menstruates regularly. Embolization could be a lifesaving procedure, moreover it could be an alternative for surgical treatment in young patients, who wants to save their fertility.