| Angiography as treatment for a high cervical tear. A case report. | |
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MedLine Citation:
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PMID: 12746994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: High cervical tears are a rare but serious complication of second-trimester induced abortion. Angiographic embolization can successfully treat selected cases. This is the first case of serious hemorrhage successfully treated by angiography alone, without mechanical occlusion, after failed surgical repair. CASE: A 22-year-old primigravida sustained a high cervical tear during dilation and evacuation (D&E) abortion at 21 weeks' gestation. After stabilization with 4 units of packed red cells and vaginal packing, attempted surgical repair failed. The following day, angiography alone pinpointed and stanched the small arteriolar branch of the uterine artery responsible for the bleeding. CONCLUSION: Injury to a tiny arteriolar branch of the uterine artery during D&E abortion may be impossible to palpate or visualize, and hemostatic sutures placed extrinsically on the cervical mucosa may not be therapeutic. On occasion, injection of contrast material, without mechanical occlusive devices, may be corrective. |
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Authors:
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E Steve Lichtenberg |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 48 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-15 Completed Date: 2003-08-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 287-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Northwestern University Medical Center, Albany Medical-Surgical Center, Chicago, Illinois, USA. fpamg@cais.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Therapeutic
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adverse effects*,
methods Adult Angiography / methods Cervix Uteri / injuries* Dilatation and Curettage / adverse effects*, methods Embolization, Therapeutic / methods* Female Follow-Up Studies Humans Lacerations / radiography, therapy* Pregnancy Pregnancy Trimester, Second Risk Assessment Treatment Outcome Uterine Hemorrhage / radiography, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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