Uterine artery embolization (UAE) is a common treatment for post-partum hemorrhage and uterine fibroids.
However, the effects of UAE on subsequent pregnancies have not been established. Here, we present a case of
spontaneous uterine rupture after previous UAE. A 31-year-old woman underwent UAE for a cervical ectopic
pregnancy. Contrast-enhanced magnetic resonance imaging (MRI) at days 5 and 25 post-UAE suggested a
regionally decreased blood supply in the mid-posterior wall of the uterine fundus. During a subsequent
pregnancy at age 35 years, she underwent an emergency cesarean delivery due to spontaneous uterine rupture
at the mid-posterior wall of the uterus at 32 weeks of gestation. Obstetricians should be attentive to the
possibility of spontaneous uterine rupture in pregnant women who have previously undergone UAE. Detection
of ischemic uterine muscle on MRI may predict potential for uterine rupture in a subsequent pregnancy