Wang Yinfeng, Huang Xiufeng
Department of Obstetrics & Gynecology, Women's Hospital, School of Medicine Zhejiang University, Hangzhou, Zhejiang Province, China.
J Int Med Res. 2018 Jan;46(1):546-550. doi: 10.1177/0300060517723257. Epub 2017 Aug 31.
Uterine artery embolization (UAE)-assisted induction of labor is an alternative method of managing pregnant women with complete placenta previa (CPP). Sepsis secondary to UAE, although rare, is a serious complication. We herein present a case of severe sepsis following UAE-assisted termination of a pregnancy at 27 gestational weeks in a woman with CPP. The woman developed a high-grade fever and elevated inflammatory indices following UAE. She did not recover until the infected tissue was removed by emergency cesarean section. This case suggests that the increasing use of UAE for termination of pregnancy in women with CPP requires awareness regarding the possibility of serious sepsis associated with this procedure.
子宫动脉栓塞术（UAE）辅助引产是治疗完全性前置胎盘（CPP）孕妇的一种替代方法。UAE继发的败血症虽然罕见，但却是一种严重的并发症。我们在此报告一例患有CPP的女性在妊娠27周时接受UAE辅助终止妊娠后发生严重败血症的病例。该女性在UAE后出现高热和炎症指标升高。直到通过紧急剖宫产切除感染组织后，她才康复。该病例表明，随着UAE在CPP女性终止妊娠中的应用越来越多，需要意识到与此手术相关的严重败血症的可能性。
