scholarly journals Uncommon Complication of Uterine Artery Embolization: Expulsion of Infarcted Myoma and Uterine Sepsis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Juliana G. Martins ◽  
Dawn Gaudenti ◽  
Frank Crespo ◽  
Dervi Ganesh ◽  
Usha Verma

Uterine leiomyomas are the most common benign tumors in young females and leading cause of hysterectomy. Uterine artery embolization is a safe option for women who wish to retain their uterus. Several complications have been reported including expulsion and sepsis. MRI is a useful pretreatment tool to predict results and outcomes. We report a case of a 44-year-old female with a history of uterine fibroids with the largest one being intracavitary. Patient underwent uterine artery embolization that was complicated by endomyometritis that failed antibiotics, leading to sepsis and hysterectomy.

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Vivian Fernanda do Amaral ◽  
Fernanda Yumi Yochiy ◽  
Mário Luiz Furlanetto ◽  
Spencer Luiz Marques Payão

Introduction. Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. Ideal candidates for UAE are women with symptomatic uterine leiomyomas that present no desire for pregnancy, premenopausal and heavy menstrual bleeding, or dysmenorrhea caused by intramural fibroids. Case Presentation. A 36-year-old female diagnosed with leiomyomas and an extensive history of failed previous treatments who, in order to preserve her uterus, underwent UAE and had tumor expulsion 15 days after the procedure. The patient remained eight months in amenorrhea and, currently, presents normal hormone levels and irregular periods. Conclusion. UAE presents itself as a minimally invasive procedure and as an efficient alternative for those patients who wish to preserve their uteri and also improve their symptoms and quality of life.


2009 ◽  
Vol 92 (2) ◽  
pp. 756-761 ◽  
Author(s):  
Marianne J. Voogt ◽  
Jolanda De Vries ◽  
Willem Fonteijn ◽  
Paul N.M. Lohle ◽  
Peter F. Boekkooi

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jeffrey L. Roberson ◽  
Lauren N. Krumeich ◽  
Nabil F. Darwich ◽  
Victor Babatunde ◽  
Dorottya Laczko ◽  
...  

Abstract Background Uterine artery embolization in the treatment of uterine leiomyoma has been rarely associated with dislodgement and expulsion of infarcted uterine fibroids through the vagina, peritoneum, or bowel wall, predominantly occurring within 6 months of uterine artery embolization. Case presentation We present the case of a 54-year-old African American woman who underwent uterine artery embolization 11 years prior and developed mechanical small bowel obstruction from the migration of fibroid through a uteroenteric fistula with ultimate impaction within the distal small bowel lumen. Small bowel resection and hysterectomy were curative. Conclusions Uteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness.


2020 ◽  
Vol 20 (1-2) ◽  
pp. 13-18
Author(s):  
Elmira T. Nurmukhametova

Uterine fibroids are one of the main causes of hysterectomy. This radical method of treatment allows to control such symptoms as pain and bleeding, but significantly worsens womens quality of life, preventing them from their childbearing function. This article includes the results of domestic and foreign studies on organ-preserving methods of treatment of uterine fibroids published within 10 years. The method of uterine artery embolization, which is preferred by an increasing number of doctors and patients suffering from fibroids, is also described in the article. The search for articles was carried out in the databases Pubmed, Web of Science, Scopus.


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