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Manage Percreta as if It Were Pelvic Bleeding From Trauma


 

Six subsequent pregnancies occurred in this population.

The literature quotes an 8% complication rate for arterial embolization in the setting of postpartum hemorrhage, with the bulk of adverse events consisting of contrast media reactions or relatively minor puncture site problems. Bladder or uterine necrosis has been reported infrequently; in Dr. Abada's series there were no such cases.

The arrows in each image (taken before arterial embolization) point to areas of extravasation of contrast media, which indicate postpartum bleeding. Photos courtesy Dr. Hicham T. Abada

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