{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:01:13Z","timestamp":1773352873030,"version":"3.50.1"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T00:00:00Z","timestamp":1429574400000},"content-version":"vor","delay-in-days":110,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>This is the first case of total rectal and anal canal necrosis following uterine arteries embolization described in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 34 year-old woman suffered from massive Post Partum Haemorrhage. A vascular surgeon performed bilateral uterine arteries embolization with absorbable gelatin sponge which did not allowed a sufficient control of the bleeding, leading to hysterectomy.<\/jats:p>\n                    <jats:p>Perineal gangrene was diagnosed on day 10 on CT scan, pelvic MRI, and rectosigmoidoscopy. The etiology was a rectal ischaemia going from the level of the second sacral vertebra to the anal canal. Drainage and a lateral laparoscopic sigmoidostomy were associated to antibiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Ornan et al. described complications of bilateral uterine arteries embolization in a serie of 28 patients with post partum haemorrhage. One of these patients presented a necrotic segment of small bowel 7 days after the embolization, she required a surgery. The hypothesis for these kinds of complications is the migration of the gelatine sponge particles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This rare but life-threatening complication has never been reported before and should be known when considering perineal pain after bilateral uterine arteries embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.04.026","type":"journal-article","created":{"date-parts":[[2015,4,22]],"date-time":"2015-04-22T12:31:26Z","timestamp":1429705886000},"page":"24-26","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Acute rectal ischaemia after bilateral uterine artery embolization and urgent hysterectomy to treat massive bleeding"],"prefix":"10.1097","volume":"13","author":[{"given":"Anne-Sophie","family":"Didn\u00e9e","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poirier","family":"Philippei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Marc-Henri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuels","family":"Louisa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Comy","family":"Michel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-7-20260114","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1007\/s10350-006-0812-y","article-title":"Acute ischemic proctitis: report of four cases","volume":"50","author":"Maun","year":"2007","journal-title":"Dis. 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One vascular surgery group's experience","volume":"20","author":"Cooper","year":"2012","journal-title":"Vascular"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215002084?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261215002084?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201513000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:17:54Z","timestamp":1768396674000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201513000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":7,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2015.04.026","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}