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Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy

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Abstract

Introduction

Laparoscopic-assisted myomectomy (LAM) is a minimally invasive procedure with many advantages. However, progressive formation of uterine arteriovenous fistula (AVF) after LAM is not described as a significant complication.

Case report

A 39-year-old nulligravida underwent LAM for multiple myomas. On ultrasonography obtained 13 days after LAM, a prominent vascular mass was identified in the post-myomectomy scar. Computed tomographic angiography showed AVF originating from the left uterine artery. Uterine AVF was endovascularly embolized by metallic coils to avoid future hemorrhage.

Conclusions

Development of uterine AVF after LAM is a potentially life-threatening complication. Early diagnosis and endovascular management can provide a significant benefit for a woman wishing uterine preservation.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi, Gifu, 507-8522, Japan

    Akihiro Takeda, Sanae Imoto, Masahiko Mori, Kotaro Sakai & Hiromi Nakamura

  2. Department of Radiology, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi, Gifu, 507-8522, Japan

    Kazuyuki Koyama

Authors
  1. Akihiro Takeda
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  2. Kazuyuki Koyama
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  3. Sanae Imoto
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  4. Masahiko Mori
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  5. Kotaro Sakai
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  6. Hiromi Nakamura
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Correspondence to Akihiro Takeda.

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Takeda, A., Koyama, K., Imoto, S. et al. Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy. Arch Gynecol Obstet 280, 663–667 (2009). https://doi.org/10.1007/s00404-009-0981-8

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  • DOI: https://doi.org/10.1007/s00404-009-0981-8

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