Successful pregnancy after bilateral hypogastric artery ligation. A case report.

Background: Selective embolization of the hypogastric arteries is an effective, nonsurgical alternative for the management of obstetric and gynecologic hemorrhage. Successful pregnancy following bilateral hypogastric artery occlusion has been reported, but experience is extremely limited.

Case: We report a case of successful pregnancy in a patient previously treated with bilateral hypogastric artery embolization. Although a diminution of fetal growth toward term was observed, the fetus tolerated labor and subsequently thrived, without sequelae.

Conclusion: This case supports the possibility of normal labor for women who conceive after bilateral hypogastric artery embolization.