Uterine necrosis following uterine artery embolism due to postpartum hemorrhage: A case report and review

Uterine necrosis after uterine artery embolization (UAE) for postpartum hemorrhage (PPH) is relatively rare. A 29-year-old primiparous woman had a diamniotic dichorionic twin pregnancy following frozen blastocyst transfer. She developed preeclampsia at 34+3 weeks, and cesarean section was performed due to lung edema 35+2 weeks. UAE using gelatin sponge 3 hours the operation PPH; however, continued, we second n-butyl-2-cyanoacrylate. subinvolution continued UAE, her fever recurred 11 days operation. Magnetic resonance imaging suggested 14 operation, resulting in hysterectomy. The present study reviewed 17 cases of women with PPH, fever, abdominal/pelvic pain found that delayed appearance various symptoms common. long-lasting may be novel specific feature PPH.