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
  • Anshuman K. Bansal
  • David M. Hovsepian
Case Report

Abstract

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.

Keywords

Clinical practice Arterial intervention 

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Copyright information

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

Authors and Affiliations

  • Luis B. Gutierrez
    • 1
  • Anshuman K. Bansal
    • 2
  • David M. Hovsepian
    • 1
  1. 1.School of MedicineStanford UniversityStanfordUSA
  2. 2.Department of RadiologyUniversity of California at Los AngelesLos AngelesUSA

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