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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 235312, 3 pages
http://dx.doi.org/10.1155/2015/235312
Case Report

Pregnancy after Uterine Artery Embolization: A Case Report in a Woman with Leiomyomata

Department of Obstetrics and Gynecology, Centro Hospitalar do Porto, 4099-001 Porto, Portugal

Received 20 November 2014; Accepted 21 January 2015

Academic Editor: Olivier Picone

Copyright © 2015 Helena Isabel Lopes 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

Background. Several pregnancies have been reported after embolization of uterine artery. This procedure is an accepted nonsurgical treatment for symptomatic uterine fibroids but its safety in women desiring future childbearing is not well established. Case Report. We present a 40-year-old woman with leiomyomata who became pregnant after previously undergone uterine artery embolization for three times. The placenta was previa and the fetus was in transverse position. She had a cesarean delivery of an appropriately grown fetus at 37 weeks, which was followed by uterine atony requiring hysterectomy. Conclusion. Although pregnancy-related outcomes remain understudied, the available reports evidence that pregnancies after uterine artery embolization may be at significantly increased risk for postpartum hemorrhage, cesarean delivery, abnormal placentation, and malpresentation. In patients who are undergoing this type of treatment and contemplating pregnancy, the possibility of adverse complications should be taken in consideration and women should be appropriately advised.