» Articles » PMID: 28856930

Sepsis After Uterine Artery Embolization-assisted Termination of Pregnancy with Complete Placenta Previa: A Case Report

Overview
Journal J Int Med Res
Publisher Sage Publications
Specialty General Medicine
Date 2017 Sep 1
PMID 28856930
Citations 11
Authors
Affiliations
Soon will be listed here.
Abstract

Uterine artery embolization (UAE)-assisted induction of labor is an alternative method of managing pregnant women with complete placenta previa (CPP). Sepsis secondary to UAE, although rare, is a serious complication. We herein present a case of severe sepsis following UAE-assisted termination of a pregnancy at 27 gestational weeks in a woman with CPP. The woman developed a high-grade fever and elevated inflammatory indices following UAE. She did not recover until the infected tissue was removed by emergency cesarean section. This case suggests that the increasing use of UAE for termination of pregnancy in women with CPP requires awareness regarding the possibility of serious sepsis associated with this procedure.

Citing Articles

Clinical efficacy analysis of laparoscopic uterine artery pre-ligation combined with hysteroscopic curettage in the treatment of type II cesarean scar pregnancy.

Teng D, Gao H, Li Y, Meng T, Shi X, Shi J Front Med (Lausanne). 2023; 10:1234499.

PMID: 37601781 PMC: 10436082. DOI: 10.3389/fmed.2023.1234499.


Emergency internal iliac artery temporary occlusion after massive hemorrhage during surgery of cesarean scar pregnancy: A case report.

Xie J, Chen L, Lv W, Li W, Fang H, Zhu G World J Clin Cases. 2023; 11(17):4065-4071.

PMID: 37388788 PMC: 10303609. DOI: 10.12998/wjcc.v11.i17.4065.


Application of laparoscopic internal iliac artery temporary occlusion and uterine repair combined with hysteroscopic aspiration in type III cesarean scar pregnancy.

Su X, Yang M, Na Z, Wen C, Liu M, Cai C Am J Transl Res. 2022; 14(3):1737-1741.

PMID: 35422906 PMC: 8991161.


Evaluation of the treatment of high intensity focused ultrasound combined with suction curettage for exogenous cesarean scar pregnancy.

Mu L, Weng H, Wang X Arch Gynecol Obstet. 2022; 306(3):769-777.

PMID: 35303150 DOI: 10.1007/s00404-022-06487-3.


Can uterine artery embolization be an alternative to plastic and reconstructive uterus operation by minimally invasive surgery?.

Cezar C, Torres de la Roche L, Hennefrund J, Verhoeven H, Devassy R, De Wilde R GMS Interdiscip Plast Reconstr Surg DGPW. 2021; 10:Doc07.

PMID: 34194918 PMC: 8204672. DOI: 10.3205/iprs000157.


References
1.
Nakash A, Tuck S, Davies N . Uterine sepsis with uterine artery embolisation in the management of obstetric bleeding. J Obstet Gynaecol. 2011; 32(1):26-9. DOI: 10.3109/01443615.2011.615420. View

2.
Chebbo A, Tan S, Kassis C, Tamura L, Carlson R . Maternal Sepsis and Septic Shock. Crit Care Clin. 2015; 32(1):119-35. DOI: 10.1016/j.ccc.2015.08.010. View

3.
Badawy S, Etman A, Singh M, Murphy K, Mayelli T, Philadelphia M . Uterine artery embolization: the role in obstetrics and gynecology. Clin Imaging. 2001; 25(4):288-95. DOI: 10.1016/s0899-7071(01)00307-2. View

4.
Huang L, Awale R, Tang H, Zeng Z, Li F, Chen Y . Uterine artery embolization, not cesarean section, as an option for termination of pregnancy in placenta previa. Taiwan J Obstet Gynecol. 2015; 54(2):191-3. DOI: 10.1016/j.tjog.2014.04.028. View

5.
Peng Q, Zhang W . Uterine arterial embolization to assist induction of labor among patients with complete placenta previa. Int J Gynaecol Obstet. 2015; 130(2):132-6. DOI: 10.1016/j.ijgo.2015.02.033. View