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 |
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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 |
| _version_ | 1819063025100914688 |
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| author | Hosuk Song Jung Wook Seo Wonseon Shin |
| author_facet | Hosuk Song Jung Wook Seo Wonseon Shin |
| author_sort | Hosuk Song |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T15:08:06Z |
| format | Article |
| id | doaj.art-94d9c305f42e4ad7a577bcb595aeaa47 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-21T15:08:06Z |
| publishDate | 2018-01-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-94d9c305f42e4ad7a577bcb595aeaa472022-12-21T18:59:22ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282018-01-017816368https://doi.org/10.3348/jksr.2018.78.1.63Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine NecrosisHosuk Song0Jung Wook Seo1Wonseon Shin2Department of Radiology, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, KoreaDepartment of Radiology, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, KoreaDepartment of Radiology, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, KoreaA 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.https://doi.org/10.3348/jksr.2018.78.1.63uterusmyomauterine artery embolizationpostpartum hemorrhage |
| spellingShingle | Hosuk Song Jung Wook Seo Wonseon Shin Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis 대한영상의학회지 uterus myoma uterine artery embolization postpartum hemorrhage |
| title | Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis |
| title_full | Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis |
| title_fullStr | Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis |
| title_full_unstemmed | Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis |
| title_short | Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis |
| title_sort | pyomyoma after uterine artery embolization for postpartum hemorrhage misdiagnosed as uterine necrosis |
| topic | uterus myoma uterine artery embolization postpartum hemorrhage |
| url | https://doi.org/10.3348/jksr.2018.78.1.63 |
| work_keys_str_mv | AT hosuksong pyomyomaafteruterinearteryembolizationforpostpartumhemorrhagemisdiagnosedasuterinenecrosis AT jungwookseo pyomyomaafteruterinearteryembolizationforpostpartumhemorrhagemisdiagnosedasuterinenecrosis AT wonseonshin pyomyomaafteruterinearteryembolizationforpostpartumhemorrhagemisdiagnosedasuterinenecrosis |