Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis
A 34-year-old female patient underwent uterine artery embolization (UAE) to control massive postpartum hemorrhage. The interventional radiologist was not informed of the patient’s significant history of uterine myoma. Although no significant signs of complications or “red flags” were observed during...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2018-01-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2018.78.1.63 |
| Summary: | A 34-year-old female patient underwent uterine artery embolization (UAE) to control massive postpartum hemorrhage. The interventional radiologist was not informed of the patient’s significant history of uterine myoma. Although no significant signs of complications or “red flags” were observed during the procedure,
follow-up computed tomography performed four weeks later revealed evidence of
a large, globe-like fluid collection with air bubbles in the uterus. The finding and pathology was initially diagnosed as uterine necrosis, which led not to interventional
percutaneous drainage; instead, dilation and curettage with resectoscope was performed. The surgical and pathological diagnosis was “expulsion of pyomyoma in the
uterine cavity.” Awareness and precise knowledge of imaging findings of pyomyoma
and uterine necrosis are important for early diagnosis and treatment of UAE-related
complications. |
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| ISSN: | 1738-2637 2288-2928 |