Uterine artery embolization assisted C-section in woman with multiple fibroids

Background

A 29-year-old with a previous history of myomectomy for multiple fibroids 2 years ago, presented with early pregnancy. 

Diagnosis & Treatment 

On examination, the patient was found to have multiple fibroids that were complicating early pregnancy. The patient and the family continued pregnancy until 36 weeks with nil complaints and complications. At 36 weeks, she had multiple fibroids with a breech presentation. Lower Segment Cesarean Section (LSCS) and Uterine Artery Embolization (UAE) was done. She delivered a live baby of 2.7kg. Before the removal of the placenta, UAE was done using gel foam, PUA particles, and glue followed by placental removal. Though the uterus did not retract well due to multiple fibroids, she hardly had any bleeding. The lower segment was closed in 2 layers. The post-op period was uneventful, and the patient did not require any blood product transfusion

About Author –

Dr. Bhagya Lakshmi, Consultant Obstetrics, Gynecologist & Laparoscopic Surgeon, Yashoda Hospitals – Hyderabad
MD (OBG)