On the occasion of International women’s day, CMRI takes absolute pride on behalf of the entire women’s fraternity in celebrating the success and good health of a 27-year-old woman, who was presented to CMRI with severe vaginal bleeding that began almost two months after her first C-section delivery. Her hemoglobin level dropped significantly due to constant bleeding. She went to her doctor, who recommended a hysterectomy, which required hospitalization and the removal of the entire uterus. The lady was at her wit’s end; on the one hand, she was dealing with the trauma of constant bleeding, and on the other, she had a nursing infant who was only sixty days old and completely dependent on her. Being hospitalized for major surgery within two months of a C-section with uterus removal at the age of 27 seemed too much for her and not a good option for her. They sought the advice of Dr. Avik Bhattacharya, Intervention and Endo Vascular Radiologist at CMRI because they were perplexed and unable to make a firm decision.
Dr. Avik Bhattacharya evaluated the patient and discovered that, despite the fact that it was a clean C-section with no evidence of placenta or other substance left behind in the uterus. After two months, ultrasonography revealed the presence of a tumour inside the uterine cavity. This was the cause of her constant bleeding, which resulted in a drop in hemoglobin and a general deterioration of her health. This is an extremely unusual and uncommon clinical development. In most cases, the entire placenta adherent to the uterus comes out during delivery, but in some cases, due to developmental malformation, it goes inside the uterine muscles and becomes incorporated into the uterine walls, and can only be surgically removed. The cause of the profuse bleeding was the adherent vascular structure of the placenta to the uterus. Dr. Bhattacharya explained to the patient that this complication after a C-section can be treated with Uterine Artery Embolization, a procedure performed at CMRI’s State of Art Advanced Cath Lab.
She was hopeful and breathed a sigh of relief after learning about Uterine Artery Embolization and realising that such a rare clinical condition could be treated without the use of a knife. Sharing her experience with excitement, she says, “I was awestruck with the advancement in medical science. I was able to return home to my daughter the same day after removing my tumour without having to undergo the traumatic surgical procedure of a hysterectomy. I can’t believe my heavy bleeding, which had been going on for almost two months, stopped on the same day. I appreciate the skilled doctor and his team. With a two-month-old at home and a nuclear family structure, I can’t express how terrible it was for me and my family. I am extremely grateful for the doctor’s support and confidence in this cutting-edge procedure, which is also being performed in my city.”
Dr. Avik Bhattacharya explaining about this case said, “We do Uterine Artery Embolization quite often at our hospital, but when this lady presented with a uterine tumour just two months post-C- Section came I found it to be quite a rare clinical condition. Taking on the challenge and performing this procedure in a cutting-edge advanced Cath Lab resulted in a fantastic clinical outcome. The excellent infrastructure, which included high-end digital imaging, contributed to the accuracy and precision. The procedure took me no more than 45 minutes to complete. After a few hours of post-evaluation, the patient was discharged with an excellent clinical outcome. No knife, less pain, no hospitalization, same-day discharge; this minimally invasive procedure will be the surgery of the next decade.” Endovascular and Interventional Radiology is poised to revolutionize the surgical field. This specialty can easily handle surgeries such as uterine fibroids, varicose veins, peripheral arterial disease, and other similar diseases, resulting in excellent clinical outcomes.