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Selective Embolisation of a Heavily Bleeding Cervical Fibroid in a Pregnant Woman

CardioVascular and Interventional Radiology volume 38, pages 1649–1653 (2015)Cite this article

Abstract

We report a case of a 20-week pregnant woman, who underwent embolisation of a cervical fibroid to end a life-threatening massive bleeding. This is the first reported case in the literature of a super-selective uterine fibroid embolisation (UFE) in a pregnant woman, even though pregnancy is considered an absolute contraindication for UFE. This rare case demonstrates that UFE can be safely performed during pregnancy providing an excellent short- and long-term clinical outcome for both mother and child.

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Conflict of interest

Paul N. M. Lohle is a consultant for CeloNova Biosciences Inc. Peter F. Boekkooi, Cora A. Fiedeldeij, Hubert J. J. M. Berden, Wim de Jong, Jim A. Reekers, Arie Franx, and Willem Jan J. van Rooij have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from individual participants included in the study.

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Affiliations

  1. Department of Radiology, Elisabeth TweeSteden ziekenhuis, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands

    Paul N. M. Lohle & Willem Jan J. van Rooij

  2. Department of Obstetrics & Gynaecology, Elisabeth TweeSteden ziekenhuis, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands

    Peter F. Boekkooi & Cora A. Fiedeldeij

  3. Elisabeth TweeSteden ziekenhuis, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands

    Hubert J. J. M. Berden

  4. Medical Physics, Elisabeth TweeSteden ziekenhuis, Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands

    Wim de Jong

  5. Department of Radiology, Academisch Medisch Centrum, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Jim A. Reekers

  6. Department of Obstetrics & Gynaecology, Universitair Medisch Centrum, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    Arie Franx

Authors
  1. Paul N. M. Lohle
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  2. Peter F. Boekkooi
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  3. Cora A. Fiedeldeij
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  4. Hubert J. J. M. Berden
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  5. Wim de Jong
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  6. Jim A. Reekers
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  7. Arie Franx
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  8. Willem Jan J. van Rooij
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Correspondence to Paul N. M. Lohle.

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Lohle, P.N.M., Boekkooi, P.F., Fiedeldeij, C.A. et al. Selective Embolisation of a Heavily Bleeding Cervical Fibroid in a Pregnant Woman. Cardiovasc Intervent Radiol 38, 1649–1653 (2015). https://doi.org/10.1007/s00270-015-1099-y

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  • DOI: https://doi.org/10.1007/s00270-015-1099-y

Keywords

  • Clinical practice
  • Arterial intervention
  • Embolization
  • Emergency medicine
  • Uterine fibroid embolization (UFE)
  • Fibroid
  • Hemorrhage
  • Uterine fibroid