Uterine rupture after uterine artery embolization for symptomatic leiomyomas.

Abstract

There are few data regarding safety of pregnancy after uterine artery embolization. However, numerous women desire future fertility after this procedure. Uterine rupture without a history of cesarean delivery or uterine scarring is an exceedingly rare complication in pregnancy. We report a case of uterine rupture in a primigravid woman after uterine artery embolization. Her pregnancy was also complicated by placenta previa with placenta increta, resulting in a favorable neonatal outcome in an otherwise life-threatening situation for mother and fetus. Uterine artery embolization is a risk factor for abnormal placentation and uterine rupture in subsequent pregnancies.