Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation

Figure 2

A 34-year-old patient with postpartum hemorrhage due to incomplete uterine rupture who had overt disseminated intravascular coagulation according to both the obstetrical DIC and the ISTH DIC scoring systems. (a) Left internal iliac artery angiography showing dilated intrauterine arteries and extravasation (arrows). (b) Left internal iliac angiography after embolization using a 20% N-butyl-2-cyanoacrylate-Lipiodol mixture shows glue cast (arrows) and complete obstruction of the uterine artery. Right uterine artery was also embolized by using N-butyl-2-cyanoacrylate-Lipiodol mixture.

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(b)