Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

Sang Joon Kim; A Mi Kim; Tae Young Kim; Jong Woon Kim; Yoon Ha Kim

doi:10.14734/PN.2018.29.04.195

Journal List > Perinatology > v.29(4) > 1111085

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim, Kim, Kim, Kim, and Kim: Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

Case report

Perinatology 2018;29(4):195-197.

Published online: 19 January 2018

DOI: https://doi.org/10.14734/PN.2018.29.04.195

Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

Sang Joon Kim, MD, A Mi Kim, MD, Tae Young Kim, MD, Jong Woon Kim, MD, Yoon Ha Kim, MD

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea

Correspondence to Yoon Ha Kim, MD Department of Obstetrics and Gynecology, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea Tel: +82-62-220-6376 Fax: +82-62-227-1637 E-mail: kimyh@jnu.ac.kr

Received 2 July 201819 August 2018 Accepted 18 September 2018

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

As intervention techniques have been developed recently, minimal invasive treatment for uterine myoma using uterine artery embolization is receiving attention increasingly. Uterine rupture occurs rarely, but once it occurs, it may cause fatal results in both mother and fetus. Although the relationship between uterine artery embolization for treatment of uterine myoma and uterine rupture has not been clearly revealed yet, a case implying that the embolization for treatment of uterine myoma can be a risk factor of uterine rupture like previous caesarian delivery or myomectomy.

Keywords: Uterine rupture, Uterine artery embolization, Leiomyoma, Pregnancy

REFERENCES

1). Al-Zirqi I., Daltveit AK., Forsén L., Stray-Pedersen B., Vangen S. Risk factors for complete uterine rupture. Am J Obstet Gynecol. 2017. 216:165. .e1-8.

2). Committee on Gynecologic Practice, American College of Obstetricians and Gynecologists. ACOG Committee Opinion. Uterine artery embolization. Obstet Gynecol. 2004. 103:403–4.

3). Society of Obstetricians and Gynecologists of Canada. SOGC clinical practice guidelines. Uterine fibroid embolization (UFE). Number 150, October 2004. Int J Gynaecol Obstet. 2005. 89:305–18.

4). You SH., Chang YL., Yen CF. Rupture of the scarred and unscarred gravid uterus: outcomes and risk factors analysis. Taiwan J Obstet Gynecol. 2018. 57:248–54.

5). Milazzo GN., Catalano A., Badia V., Mallozzi M., Caserta D. Myoma and myomectomy: poor evidence concern in pregnancy. J Obstet Gynaecol Res. 2017. 43:1789–804.

6). Redecha M Jr., Mižičková M., Javorka V., Redecha M Sr., Kurimská S; S., Holomáň K. Pregnancy after uterine artery embolization for the treatment of myomas: a case series. Arch Gynecol Obstet. 2013. 287:71–6.

7). Yeaton-Massey A., Loring M., Chetty S., Druzin M. Uterine rupture after uterine artery embolization for symptomatic leiomyomas. Obstet Gyne-col. 2014. 123(2 Pt 2 Suppl 2):418–20.

8). Takeda J., Makino S., Ota A., Tawada T., Mitsuhashi N., Takeda S. Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization. J Obstet Gynaecol Res. 2014. 40:243–6.

9). Homer H., Saridogan E. Uterine artery embolization for fibroids is associated with an increased risk of miscarriage. Fertil Steril. 2010. 94:324–30.

Fig. 1

Ultrasonographic finding of inceased fluid collection in abdominal right lower quardrant area.

Fig. 2

Intraoperative photo of uterine rupture site. Intramural type myoma of posterior uterine wall near the rupture site. Size about 2×2 cm (arrow).

Fig. 3

Transvaginal ultrasonographic finding of the uterus after 1 week of operation (longitudinal section). The ruptured posterior wall is thinner.

TOOLS

Similar articles