Imaging of uterine necrosis: A rare complication of uterine artery embolization for post partum hemorrhage

Post-partum haemorrhage (PPH) is the most common cause of maternal mortality in India. Uterine artery embolization (UAE) for treating PPH is a recent developed minimally invasive method. It has high efficacy and low complication rate. Uterine necrosis is a rare and life threatening complication of UAE. Imaging features on ultrasound include distended endometrial cavity with dirty acoustic shadowing and thinning of myometrium. On CT, hypo to non-enhancing myometrium with or without air foci is seen. Contrast enhanced MRI is a key diagnostic imaging which has a high soft tissue resolution. Thinning of myometrium with non-enhancing myometrium is a key feature to the diagnosis of uterine necrosis. We present a rare case report of uterine necrosis post UAE.