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Pregnancy after uterine-artery embolization for symptomatic fibroids: a case of placenta accreta with uterine rupture
Authors:Vidal L  Michel M-E  Gavillon N  Derniaux E  Quereux C  Graesslin O
Affiliation:Service de gynécologie-obstétrique, institut Mère-Enfant-Alix-de-Champagne, centre hospitalier universitaire, 1-5, rue de l'Université, 51092 Reims cedex, France.
Abstract:
The evolution of pregnancies following uterine-artery embolisation (UAE) for symptomatic fibroids remains uncertain. We report a case of pregnancy after UAE, complicated of adherent placenta with uterine rupture, in a context of uterine leiomyomata with a prior cesarean delivery. Through a recent review of the literature, we discuss the main obstetrical complications following UAE. Appropriate management of these high-risk pregnancies, notably in case of risk of adherent placenta, seems to be necessary.
Keywords:EAU, embolisation des artères utérines   FU, fibromes utérins   SA, semaines d’aménorrhée   RPM, rupture prématurée des membranes   FCS, fausse couche spontanée   AP, accouchement prématuré   IRM, imagerie par résonance magnétique   HTA, hypertension artérielle   RCIU, retard croissance intra-utérin   HD, hémorragie de la délivrance
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