Interest of uterine artery embolization with gelatin sponge particles prior to myomectomy for large and/or multiple fibroids.

Purpose: To evaluate the efficacy of pre-myomectomy uterine artery embolization with gelatin sponge particles to reduce operative blood loss and facilitate removal of fibroids.

Materials And Methods: This retrospective study included 33 women (mean age, 36 years; range, 24-45 years), of whom at least 18 wished to preserve fertility. They presented with at least one large myoma (mean diameter, 90 mm; range, 50-150 mm) and had undergone preoperative uterine artery embolization with resorbable gelatin sponge by unilateral femoral approach between December 2001 and November 2008.

Pseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization.

Background: Uterine artery pseudoaneurysm is a rare but serious complication of pelvic surgery. Cesarean delivery is the most common cause.

Case: We report a case of postpartum pelvic hemorrhage after cesarean delivery.

Uterine necrosis following selective embolization for postpartum hemorrhage using absorbable material.

Embolization of the uterine arteries with resorbable material is an effective treatment for postpartum hemorrhage. Cases of uterine necrosis were already described but with non-resorbables particles. We report two exceptional cases of uterine necrosis with failure of conservative treatment following selective embolization with gelatine.