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Park and Jung: Fatal pulmonary thromboembolism after uterine artery embolization for uterine myoma: A case report
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(1): 62-65.

Published online: 31 January 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.1.62

Fatal pulmonary thromboembolism after uterine artery embolization for uterine myoma: A case report

So-Young Park, MD, Hyuk Jung, MD, PhD

Department of Obstetrics and Gynecology, Chosun University School of Medicine, Gwangju, Korea.

Corresponding author: Hyuk-Jung, MD, PhD. Department of Obstetrics and Gynecology, Chosun University Hospital, 588 Seoseok-dong, Dong-gu, Gwangju 501-717, Korea. Tel: +82-62-220-3092, Fax: +82-62-232-2310, bimilo@hanmail.net

Received 26 July 2010       Revised 29 October 2010       Accepted 13 December 2010

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 34-year-old woman with 10x8 cm sized myoma who was unmarried state willing to be pregnant received uterine artery embolization to treat myoma. There was no problem in pre-operative, per-operative and post-operative laboratory or physical exam but patient had sudden death that later confirmed to be pulmonary thromboembolism in the autopsy. Uterine artery embolization is a minimally invasive method to treat uterine myoma. Although there can be some complications, thromboembolic complications after uterine artery embolization are very infrequent. We present a case of death occurred from a pulmonary embolism after uterine artery embolization to treat uterine myoma.

Keywords: Myoma, Embolization, Complications, Thromboembolism

Figures and Tables

Fig. 1
(A) Massive myoma staining is seen. (B) Abdominal aortography: enlarged uterine arteries were seen (arrow).
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Fig. 2
Embolization of the right uterine artery (A), left uterine artery (arrow). (B) Blood flow is blocked successfully (arrow).
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Fig. 3
Pulmonary arterial thromboembolism: microscopic finding reveals red blood cells, scattered inflammatory cells and fibrin clot showing lines of Zahn (H&E, ×200).
kjog-54-62-g003

References

1. Ravina JH, Herbreteau D, Ciraru-Vigneron N, Bouret JM, Houdart E, Aymard A, et al. Arterial embolisation to treat uterine myomata. Lancet. 1995. 346:671–672.
2. Bradley EA, Reidy JF, Forman RG, Jarosz J, Braude PR. Transcatheter uterine artery embolisation to treat large uterine fibroids. Br J Obstet Gynaecol. 1998. 105:235–240.
3. Goodwin SC, Walker WJ. Uterine artery embolization for the treatment of uterine fibroids. Curr Opin Obstet Gynecol. 1998. 10:315–320.
4. Hong JH, Song SH, Lee JK, Oh MJ, Saw HS, Park YK, et al. Uterine artery embolization for leiomyoma. Korean J Obstet Gynecol. 2004. 47:481–486.
5. Radeleff B, Rimbach S, Kauffmann GW, Richter GM. Risk and complication rate of uterine fibroid embolization (UFE). Radiologe. 2003. 43:641–650.
6. de Blok S, de Vries C, Prinssen HM, Blaauwgeers HL, Jorna-Meijer LB. Fatal sepsis after uterine artery embolization with microspheres. J Vasc Interv Radiol. 2003. 14:779–783.
7. Pelage JP, Jacob D, Le Dref O, Lacombe P, Laurent A. Re: fatal sepsis after uterine artery embolization with microspheres. J Vasc Interv Radiol. 2004. 15:405–406.
8. Vashisht A, Studd J, Carey A, Burn P. Fatal septicaemia after fibroid embolisation. Lancet. 1999. 354:307–308.
9. Spies JB, Spector A, Roth AR, Baker CM, Mauro L, Murphy-Skrynarz K. Complications after uterine artery embolization for leiomyomas. Obstet Gynecol. 2002. 100:873–880.
10. Czeyda-Pommersheim F, Magee ST, Cooper C, Hahn WY, Spies JB. Venous thromboembolism after uterine fibroid embolization. Cardiovasc Intervent Radiol. 2006. 29:1136–1140.
11. Nikolic B, Kessler CM, Jacobs HM, Abbara S, Ammann AM, Neeman Z, et al. Changes in blood coagulation markers associated with uterine artery embolization for leiomyomata. J Vasc Interv Radiol. 2003. 14:1147–1153.
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