Postpartum Necrotizing Myometritis

We present a case of postpartum necrotizing myometritis, a rare complication that often occurs following transcatheter arterial embolization for the treatment of postpartum hemorrhage, and its etiology is closely associated with uterine ischemia and bacterial infection. Due to the nonspecific clinical manifestations, its diagnosis is often challenging. The essential treatments are maintaining uterine cavity patent, debriding the infected and necrotic tissues, and providing aggressive anti-infective therapy. Hysterectomy could be performed if necessary. Failure to control the disease timely may be life-threatening.