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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Uterine rupture after uterine artery embolization for symptomatic leiomyomas
Amanda Yeaton-Massey1, Megan Loring, Shilpa Chetty
1Stanford 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.
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.
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