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Case Reports in Obstetrics and Gynecology
Volume 2014, Article ID 607835, 3 pages
http://dx.doi.org/10.1155/2014/607835
Case Report

Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage

1Department of Obstetrics and Gynecology, Blekinge Hospital, Lasarettsvägem 38, 37185 Karlskrona, Sweden
2Department of Obstetrics and Gynecology, Women and Children’s Division, Kirkeveien 64 A, 0364 Oslo, Norway
3Department of Radiology, Oslo University Hospital, Ullevaal, Kirkeveien 166, N-0407 Oslo, Norway

Received 18 December 2013; Accepted 3 February 2014; Published 30 March 2014

Academic Editors: M. Geary, D. Hellberg, and E. F. C. Murta

Copyright © 2014 Zoltan Kozinszky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization. Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards. Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.