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Vol 84, No 11 (2013)
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Uterine artery embolization using gelatin sponge particles performed due to massive vaginal bleeding caused by ectopic pregnancy within a cesarean scar: a case study

Sławomir Woźniak, Magdalena Kłudka-Sternik, Piotr Czuczwar, Piotr Szkodziak, Tomasz Paszkowski, Małgorzata Sczerbo-Trojanowska, Krzysztof Pyra
DOI: 10.17772/gp/1668
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Ginekol Pol 2013;84(11).

open access

Vol 84, No 11 (2013)
ARTICLES

Abstract

A pregnancy located within a cesarean scar is the rarest form of ectopic pregnancy. We present a case of a 34-year-old woman with a history of one cesarean section (gravida 2, para 1) admitted to the hospital at 9 weeks of gestation due to vaginal bleeding, initially diagnosed as a missed abortion. During the hospitalization spontaneous abortion took place, and the patient was qualified for dilatation and curettage. After the procedure massive vaginal bleeding occurred, a cesarean scar pregnancy was diagnosed, and uterine artery embolization (UAE) using gelatin sponge particles was performed. The treatment was successful. Our case shows that UAE might be a life-saving procedure in cesarean scar pregnancy hemorrhages. Absorbable properties of gelatin sponge particles reduce the risk of adverse effect on fertility.

Abstract

A pregnancy located within a cesarean scar is the rarest form of ectopic pregnancy. We present a case of a 34-year-old woman with a history of one cesarean section (gravida 2, para 1) admitted to the hospital at 9 weeks of gestation due to vaginal bleeding, initially diagnosed as a missed abortion. During the hospitalization spontaneous abortion took place, and the patient was qualified for dilatation and curettage. After the procedure massive vaginal bleeding occurred, a cesarean scar pregnancy was diagnosed, and uterine artery embolization (UAE) using gelatin sponge particles was performed. The treatment was successful. Our case shows that UAE might be a life-saving procedure in cesarean scar pregnancy hemorrhages. Absorbable properties of gelatin sponge particles reduce the risk of adverse effect on fertility.

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Keywords

ectopic pregnancy, uterine artery embolization, haemorrhage bleeding, Cesarean scar

About this article
Title

Uterine artery embolization using gelatin sponge particles performed due to massive vaginal bleeding caused by ectopic pregnancy within a cesarean scar: a case study

Journal

Ginekologia Polska

Issue

Vol 84, No 11 (2013)

Page views

528

Article views/downloads

759

DOI

10.17772/gp/1668

Bibliographic record

Ginekol Pol 2013;84(11).

Keywords

ectopic pregnancy
uterine artery embolization
haemorrhage bleeding
Cesarean scar

Authors

Sławomir Woźniak
Magdalena Kłudka-Sternik
Piotr Czuczwar
Piotr Szkodziak
Tomasz Paszkowski
Małgorzata Sczerbo-Trojanowska
Krzysztof Pyra

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