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Gynécologie Obstétrique & Fertilité
Volume 37, n° 1
pages 70-73 (janvier 2009)
Doi : 10.1016/j.gyobfe.2008.10.007
Received : 10 February 2008 ;  accepted : 17 October 2008
Paralysie sciatique transitoire après embolisation de l’artère utérine
Sciatic paralysis following uterine artery embolization
 

C. Schmitt a, F. Cotton b, M.-P. Gonnaud c, M. Berland a, F. Golfier a, D. Raudrant a, O. Dupuis a,
a Service de gynécologie–obstétrique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France 
b Service de radiologie, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France 
c Service de neurologie, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France 

Auteur correspondant.
Résumé

L’hémorragie de la délivrance constitue en France, en 2006, la première cause de mortalité maternelle en période périnatale. En association avec les mesures initiales de prise en charge de l’hémorragie, l’embolisation constitue une alternative efficace non chirurgicale dont on ne doit cependant pas oublier les potentiels effets adverses. Nous rapportons le cas d’une patiente ayant présenté un tableau de paralysie sciatique poplité dans les suites immédiates du geste. Nous proposons à travers ce cas de rappeler également les différentes complications de la procédure d’embolisation décrites dans la littérature.

The full text of this article is available in PDF format.
Abstract

Early postpartum bleeding remains in France the leading cause of maternal mortality in perinatal period. In association with obstetrical and medical measures to control bleeding, uterine arteries embolization constitutes an efficient non-surgical measure whose potential side effects must be kept in mind. We report the case of a patient that presented a popliteal sciatic paralysis in the hours following the procedure. Through this case, we will review the different types of embolization complications.

The full text of this article is available in PDF format.

Mots clés : Hémorragie de la délivrance, Embolisation artérielle utérine, Complications, Paralysie sciatique

Keywords : Postpartum hemorrhage, Uterine artery embolization, Complications, Sciatic paralysis




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