Prise en charge de l'hémorragie de la délivrance par plaies cervicovaginales : un cas de nécrose utérine post-embolisation artérielle

We describe a case of uterine necrosis, following Gelitaspon® embolization for postpartum hemorrhage resulting from vaginal laceration. Previous cases published help to improve the safety of this effective method by showing the risk factors, as particles sizes, ultraselective embolization, prevention of infection. Controlling bleeding by surgery is the priority when hemorragy is due to laceration without uterin atony. In case of failure, embolization is an option which should be proposed without delay. Uterine necrosis should be suspected in case of postembolization septic syndrome.