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Title: "Bilateral Uterine Artery Embolization for Scar Site Ectopic: A Rare Case from a Tertiary Care Centre"
e-poster Number: EPOS 37
Category: e Poster
Author Name: Dr. Ayushi Kapse
Institute:
Co-Author Name:
Abstract :
Aims & Objectives:
This study aims to report and analyze the efficacy of bilateral uterine artery embolization (UAE) in managing a rare and challenging case of scar site ectopic pregnancy, encountered at a tertiary care hospital. Given the unique presentation and risks associated with scar ectopic pregnancies, our goal was to use UAE as a minimally invasive approach to control hemorrhage and preserve the patient’s fertility.
Methods:
A 39-year-old female patient with a history of two cesarean sections presented to our tertiary care hospital with complaints of vaginal bleeding and lower abdominal pain. UPT came positive and imaging via ultrasound confirmed a rare diagnosis of scar site ectopic pregnancy with no cardiac activity. Diagnostic laparoscopy was performed but according to surgeon there was no need for further intervention. But patient became vitally unstable due to continuous blood loss per vaginal and decision for UAE was taken. Under fluoroscopic guidance, Bilateral Uterine Artery Embolization was performed using polyvinyl alcohol particles to achieve targeted occlusion of both uterine arteries.
Results:
Following the procedure, the patient experienced a rapid cessation of bleeding and progressive reduction in the size of the ectopic mass. During follow-up, no significant complications were observed. The bilateral UAE approach proved successful in managing this complex case while minimizing invasive procedures.
Conclusions:
This rare case highlights the effectiveness of bilateral uterine artery embolization in managing scar site ectopic pregnancies. As a minimally invasive intervention, UAE provides an important treatment option for complex cases where traditional surgery poses high risks. This case underscores the need for further research on UAE's role in similar scenarios, especially in tertiary care settings where advanced resources are available.
