Prognosis of subsequent pregnancy in uterine necrosis after uterine artery embolization

Lee, Kyung Eun; Lee, Seon Ui; Kang, Jun; Lim, Hyun Wook; Park, In Yang; Kim, Min Jeong

doi:.0..

Obstet Gynecol Sci > Epub ahead of print

Short Communication

DOI: https://doi.org/10.5468/ogs.23287 [Epub ahead of print]
Published online April 2, 2024.

Prognosis of subsequent pregnancy in uterine necrosis after uterine artery embolization

Kyung Eun Lee¹, Seon Ui Lee², Jun Kang³, Hyun Wook Lim⁴, In Yang Park², Min Jeong Kim¹

¹Department of Obstetrics and Gynecology, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
²Department of Obstetrics and Gynecology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
³Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
⁴Department of Radiology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea

Correspondence: Min Jeong Kim,
Email: poouh74@catholic.ac.kr

Received: 13 December 2023 • Revised: 24 January 2024 • Accepted: 27 March 2024
*Kyung Eun Lee and Seon Ui Lee contributed equally to this study as co-first authors.

Abstract

In an 8-year period at two medical center, 138 patients underwent uterine artery embolization, and 11 of them were diagnosed with uterine necrosis. Among them, three were successfully conceived. However, one of them developed an arteriovenous malformation after an artificial abortion, and another experienced complications, including placenta previa and placenta accreta spectrum, which resulted in early preterm delivery and recurrent postpartum hemorrhage, necessitating subtotal hysterectomy. Therefore, it is crucial to prepare for potential adverse pregnancy outcomes in subsequent pregnancies for patients with a history of uterine necrosis.

Key Words: Uterine disease, Placenta accreta, Pregnancy complications, Uterine artery embolization