Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer
Advanced cervical cancer can lead to life-threatening vaginal bleeding. Emergency uterine artery embolization (UAE) has been successfully used in such cases to achieve hemostasis. Our case demonstrates the unusual emergency use of this procedure to cease heavy hemorrhage, which led to hematometra, u...
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| Format: | Article |
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MDPI AG
2022-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/5/1081 |
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| author | Hana Habanova Peter Mikula Tomas Tvrdik Eva Dedinska Katarina Komaromy Igor Rusnak |
| author_facet | Hana Habanova Peter Mikula Tomas Tvrdik Eva Dedinska Katarina Komaromy Igor Rusnak |
| author_sort | Hana Habanova |
| collection | DOAJ |
| description | Advanced cervical cancer can lead to life-threatening vaginal bleeding. Emergency uterine artery embolization (UAE) has been successfully used in such cases to achieve hemostasis. Our case demonstrates the unusual emergency use of this procedure to cease heavy hemorrhage, which led to hematometra, uterine rupture and hemoperitoneum in a patient with a large tumor in the cervical region. Vaginal bleeding was minimal in this case. The emergency UAE controlled the bleeding, and the patient was scheduled for laparotomy soon after the procedure, where a supracervical hysterectomy with bilateral salpingo-oophorectomy and the removal of blood and blood clots was performed. Since the tumor primarily involved the parametria, a sample was taken for histopathology examination with the following result: squamocellular HPV-associated cervical carcinoma. The postoperative management of the patient consisted of combined chemotherapy and radiotherapy, with no complications related to the UAE. Four months after the procedure the patient is reasonably well. Urgent surgery was not the optimal decision because of the alteration of the pelvic anatomy by the tumor, and thus the UAE enabled us to manage this life-threatening condition quickly, allowing us to best prepare the patient for further therapeutic modalities. |
| first_indexed | 2024-03-10T03:02:47Z |
| format | Article |
| id | doaj.art-489d42772ee14689b9b2cd5804a5f192 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T03:02:47Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-489d42772ee14689b9b2cd5804a5f1922023-11-23T10:39:04ZengMDPI AGDiagnostics2075-44182022-04-01125108110.3390/diagnostics12051081Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical CancerHana Habanova0Peter Mikula1Tomas Tvrdik2Eva Dedinska3Katarina Komaromy4Igor Rusnak51st Clinic of Gynecology and Obstetrics, Slovak Medical University and University Hospital Bratislava, Limbova 5, 83305 Bratislava, SlovakiaClinic of Radiology, Faculty of Medicine of Comenius University, Slovak Medical University, Limbova 5, 83305 Bratislava, SlovakiaClinic of Radiology, Faculty of Medicine of Comenius University, Slovak Medical University, Limbova 5, 83305 Bratislava, Slovakia1st Clinic of Gynecology and Obstetrics, Slovak Medical University and University Hospital Bratislava, Limbova 5, 83305 Bratislava, Slovakia1st Clinic of Gynecology and Obstetrics, Slovak Medical University and University Hospital Bratislava, Limbova 5, 83305 Bratislava, Slovakia1st Clinic of Gynecology and Obstetrics, Slovak Medical University and University Hospital Bratislava, Limbova 5, 83305 Bratislava, SlovakiaAdvanced cervical cancer can lead to life-threatening vaginal bleeding. Emergency uterine artery embolization (UAE) has been successfully used in such cases to achieve hemostasis. Our case demonstrates the unusual emergency use of this procedure to cease heavy hemorrhage, which led to hematometra, uterine rupture and hemoperitoneum in a patient with a large tumor in the cervical region. Vaginal bleeding was minimal in this case. The emergency UAE controlled the bleeding, and the patient was scheduled for laparotomy soon after the procedure, where a supracervical hysterectomy with bilateral salpingo-oophorectomy and the removal of blood and blood clots was performed. Since the tumor primarily involved the parametria, a sample was taken for histopathology examination with the following result: squamocellular HPV-associated cervical carcinoma. The postoperative management of the patient consisted of combined chemotherapy and radiotherapy, with no complications related to the UAE. Four months after the procedure the patient is reasonably well. Urgent surgery was not the optimal decision because of the alteration of the pelvic anatomy by the tumor, and thus the UAE enabled us to manage this life-threatening condition quickly, allowing us to best prepare the patient for further therapeutic modalities.https://www.mdpi.com/2075-4418/12/5/1081cervical canceruterine ruptureuterine artery embolizationhemoperitoneuminteresting images |
| spellingShingle | Hana Habanova Peter Mikula Tomas Tvrdik Eva Dedinska Katarina Komaromy Igor Rusnak Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer Diagnostics cervical cancer uterine rupture uterine artery embolization hemoperitoneum interesting images |
| title | Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer |
| title_full | Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer |
| title_fullStr | Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer |
| title_full_unstemmed | Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer |
| title_short | Emergency Uterine Artery Embolization Used for Managing Profuse Intra-Abdominal Bleeding and Uterine Rupture in a Patient with Advanced Cervical Cancer |
| title_sort | emergency uterine artery embolization used for managing profuse intra abdominal bleeding and uterine rupture in a patient with advanced cervical cancer |
| topic | cervical cancer uterine rupture uterine artery embolization hemoperitoneum interesting images |
| url | https://www.mdpi.com/2075-4418/12/5/1081 |
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