CardioVascular and Interventional Radiology

, Volume 35, Issue 5, pp 1231–1236

Uteroenteric Fistula Resulting From Fibroid Expulsion After Uterine Fibroid Embolization: Case Report and Review of the Literature


  • Luis B. Gutierrez
    • School of MedicineStanford University
  • Anshuman K. Bansal
    • Department of RadiologyUniversity of California at Los Angeles
    • School of MedicineStanford University
Case Report

DOI: 10.1007/s00270-011-0318-4

Cite this article as:
Gutierrez, L.B., Bansal, A.K. & Hovsepian, D.M. Cardiovasc Intervent Radiol (2012) 35: 1231. doi:10.1007/s00270-011-0318-4


A 44-year-old woman underwent uncomplicated uterine fibroid embolization (UFE) for menstrual and bulk-related symptoms in an enlarged, myomatous uterus. After surgery, she spontaneously sloughed a large mass of fibroids that arrested in the cervical canal during passage. Four days after gynecological extraction, she developed copious vaginal discharge that contained enteric contents. Contrast-enhanced computed tomography (CT) demonstrated a fistula between the small bowel and the uterus. She subsequently underwent hysterectomy, left oophorectomy, and small-bowel resection. Her postoperative recovery was uneventful.


Clinical practiceArterial intervention

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© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011