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Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Number 08

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Ginecol Obstet Mex 2021; 89 (08)

Placenta accreta post uterine artery embolization. Case report

Guarga-Montori M, Álvarez-Martínez A, Herrero-Barrios S, Marzo-Lorente M, Ruiz-Martínez S, Rojas Pérez-Ezquerra B

Language: Spanish
References: 16
Page: 641-646
PDF size: 186.74 Kb.


ABSTRACT

Background: Uterine artery embolization is an effective and minimally invasive therapeutic tool to treat patients with symptomatic myomas; however, its usefulness in patients with desire for pregnancy is controversial.
Objective: To analyze the usefulness of uterine artery embolization in patients with desire for pregnancy, diagnosed with symptomatic uterine myoma.
Clinical case: 37-year-old patient with myoma treated by uterine artery embolization in 2018; she became pregnant spontaneously two years after the intervention. Pregnancy elapsed with diagnosis of placenta previa and restricted intrauterine growth. During the cesarean section, indicated by bleeding in the third trimester, placental accretism was found, cause of uterine atony that required puerperal hysterectomy.
Conclusions: Although pregnancy following uterine artery embolization is possible, myomectomy is the technique of choice for the treatment of symptomatic myomas in women who desire pregnancy. The literature suggests that pregnancies following uterine artery embolization may be complicated by accreta, increased bleeding or cesarean section rate, but the analyses are heterogeneous. Patients should be adequately informed, and obstetricians should consider these complications in pregnancy follow-up.


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