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Acute pulmonary embolism in a patient with cesarean scar pregnancy after receiving uterine artery embolization: a case report

Authors Qiu J, Fu Y, Huang X, Shu L, Xu J, Lu W

Received 30 July 2017

Accepted for publication 14 November 2017

Published 10 January 2018 Volume 2018:14 Pages 117—120

DOI https://doi.org/10.2147/TCRM.S147754

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 3

Editor who approved publication: Professor Deyun Wang


Jian Qiu,1 Yunfeng Fu,2 Xiaohong Huang,1 Longwen Shu,1 Jiewei Xu,3 Weiguo Lu2,4

1Department of Obstetrics and Gynecology, Huzhou Central Hospital, Huzhou, Zhejiang, 2Department of Gynecologic Oncology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 3Department of General Surgery, Huzhou Central Hospital, Huzhou, Zhejiang, 4Women’s Reproductive Health Laboratory of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

Abstract: Uterine artery embolization (UAE) is considered to be an effective treatment for patients with cesarean scar pregnancy, especially for those presenting uncontrollable hemorrhage. However, it can also cause some potential complications. Pulmonary embolism is a rare but fatal complication in patients treated with UAE. Here, we report a case of a woman who was diagnosed with cesarean scar pregnancy presenting with pulmonary embolism during the operation of dilation and curettage after UAE treatment. Prompt resuscitation was carried out and the patient received anticoagulant treatment immediately. During the follow-up, she recovered well without any complications. We present the clinical details and imaging findings, followed by discussions of the etiology, treatments, and prevention strategies.

Keywords: pulmonary embolism, cesarean scar pregnancy, uterine artery embolization

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