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KMID : 0358420090520050576
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Korean Journal of Obstetrics and Gynecology
2009 Volume.52 No. 5 p.576 ~ p.580
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Uterine necrosis after partial obstruction of the uterine artery via selective embolization in postpartum hemorrhage
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Lee Ji-Yen
Hwang Jin-Wook
Lee Hyang-Ah
Lee Dong-Heon
Lee Seung-Koo
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Abstract
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Selective uterine arterial embolization is widely used in the management of obstetric hemorrhage. Owing to the pysiological changes associated with pregnancy and selection of uterine arteries, ischemic injury after uterine arterial embolization in postpartum bleeding is rare. In previous reports, the known causes of ischemic injury after embolization are using the too small particle and complete occlusion of fine branch of uterine artery with absence of collateral ovarian artery. We experienced uterine necrosis despite partial obstruction of uterine arteries following the selective embolization. We report this case with brief review of literature.
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KEYWORD
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Uterine artery embolization, Postpartum hemorrhage, Uterine necrosis
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