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...
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2016-01-01
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Online Access: | http://dx.doi.org/10.1155/2016/6921280 |
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doaj-70f58f79f4574bdd9cbd453ab08794732020-11-24T21:03:58ZengHindawi LimitedCase 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 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Devin D. Smith Annette Perez-Delboy William M. Burke Ana I. Tergas |
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 |
author_facet |
Devin D. Smith Annette Perez-Delboy William M. Burke Ana I. Tergas |
author_sort |
Devin D. Smith |
title |
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_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_sort |
buttock necrosis after uterine artery embolization for delayed hysterectomy in placenta percreta |
publisher |
Hindawi Limited |
series |
Case Reports in Obstetrics and Gynecology |
issn |
2090-6684 2090-6692 |
publishDate |
2016-01-01 |
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. |
url |
http://dx.doi.org/10.1155/2016/6921280 |
work_keys_str_mv |
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