Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta
Background. Morbidly adherent placenta (MAP) is increasing in incidence and is commonly associated with maternal hemorrhage and cesarean hysterectomy. Uterine artery embolization (UAE) may be utilized in the conservative management of placenta percreta to potentially reduce blood loss. The incidence...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2016/6921280 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850221120547979264 |
|---|---|
| author | Devin D. Smith Annette Perez-Delboy William M. Burke Ana I. Tergas |
| author_facet | Devin D. Smith Annette Perez-Delboy William M. Burke Ana I. Tergas |
| author_sort | Devin D. Smith |
| collection | DOAJ |
| description | Background. Morbidly adherent placenta (MAP) is increasing in incidence and is commonly associated with maternal hemorrhage and cesarean hysterectomy. Uterine artery embolization (UAE) may be utilized in the conservative management of placenta percreta to potentially reduce blood loss. The incidence of complications from UAE in the conservative management of placenta percreta is poorly described. To our knowledge, we present the first reported case of buttock necrosis in this setting. Case. A 39-year-old gravida nine para two with placenta percreta who underwent conservative management with UAE complicated by right buttock necrosis. Conclusion. While UAE may potentially decrease blood loss, it is not without risk. More studies must be performed in order to quantify those risks and determine the clinical utility of UAE. |
| format | Article |
| id | doaj-art-70f58f79f4574bdd9cbd453ab0879473 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-70f58f79f4574bdd9cbd453ab08794732025-08-20T02:06:47ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922016-01-01201610.1155/2016/69212806921280Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta PercretaDevin D. Smith0Annette Perez-Delboy1William M. Burke2Ana I. Tergas3Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USADepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USADepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USADepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USABackground. Morbidly adherent placenta (MAP) is increasing in incidence and is commonly associated with maternal hemorrhage and cesarean hysterectomy. Uterine artery embolization (UAE) may be utilized in the conservative management of placenta percreta to potentially reduce blood loss. The incidence of complications from UAE in the conservative management of placenta percreta is poorly described. To our knowledge, we present the first reported case of buttock necrosis in this setting. Case. A 39-year-old gravida nine para two with placenta percreta who underwent conservative management with UAE complicated by right buttock necrosis. Conclusion. While UAE may potentially decrease blood loss, it is not without risk. More studies must be performed in order to quantify those risks and determine the clinical utility of UAE.http://dx.doi.org/10.1155/2016/6921280 |
| spellingShingle | Devin D. Smith Annette Perez-Delboy William M. Burke Ana I. Tergas Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta Case Reports in Obstetrics and Gynecology |
| title | Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta |
| title_full | Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta |
| title_fullStr | Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta |
| title_full_unstemmed | Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta |
| title_short | Buttock Necrosis after Uterine Artery Embolization for Delayed Hysterectomy in Placenta Percreta |
| title_sort | buttock necrosis after uterine artery embolization for delayed hysterectomy in placenta percreta |
| url | http://dx.doi.org/10.1155/2016/6921280 |
| work_keys_str_mv | AT devindsmith buttocknecrosisafteruterinearteryembolizationfordelayedhysterectomyinplacentapercreta AT annetteperezdelboy buttocknecrosisafteruterinearteryembolizationfordelayedhysterectomyinplacentapercreta AT williammburke buttocknecrosisafteruterinearteryembolizationfordelayedhysterectomyinplacentapercreta AT anaitergas buttocknecrosisafteruterinearteryembolizationfordelayedhysterectomyinplacentapercreta |