Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage

Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization. Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to...

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Main Authors: Zoltan Kozinszky, Sverre Sand, Nils-Einar Kløw, Kirsten Hald
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/607835
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author Zoltan Kozinszky
Sverre Sand
Nils-Einar Kløw
Kirsten Hald
author_facet Zoltan Kozinszky
Sverre Sand
Nils-Einar Kløw
Kirsten Hald
author_sort Zoltan Kozinszky
collection DOAJ
description Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization. Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards. Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.
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institution Kabale University
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publishDate 2014-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-66e101a72e0d49cd82f852bc2f20e5f12025-02-03T06:05:20ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/607835607835Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical HemorrhageZoltan Kozinszky0Sverre Sand1Nils-Einar Kløw2Kirsten Hald3Department of Obstetrics and Gynecology, Blekinge Hospital, Lasarettsvägem 38, 37185 Karlskrona, SwedenDepartment of Obstetrics and Gynecology, Women and Children’s Division, Kirkeveien 64 A, 0364 Oslo, NorwayDepartment of Radiology, Oslo University Hospital, Ullevaal, Kirkeveien 166, N-0407 Oslo, NorwayDepartment of Obstetrics and Gynecology, Women and Children’s Division, Kirkeveien 64 A, 0364 Oslo, NorwayIntroduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization. Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards. Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.http://dx.doi.org/10.1155/2014/607835
spellingShingle Zoltan Kozinszky
Sverre Sand
Nils-Einar Kløw
Kirsten Hald
Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
Case Reports in Obstetrics and Gynecology
title Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
title_full Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
title_fullStr Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
title_full_unstemmed Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
title_short Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage
title_sort shortened cervix in the subsequent pregnancy after embolization for postpartum cervical hemorrhage
url http://dx.doi.org/10.1155/2014/607835
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