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Archives of Gynecology and Obstetrics

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01-10-2009 | Case Report

Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy

Authors: Akihiro Takeda, Kazuyuki Koyama, Sanae Imoto, Masahiko Mori, Kotaro Sakai, Hiromi Nakamura

Published in: Archives of Gynecology and Obstetrics | Issue 4/2009

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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Takeda A, Koyama K, Imoto S, Mori M, Sakai K, Nakamura H (2008) Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy. Fertil Steril. doi:10.1016/j.fertnstert.2008.08.019 (in press)

Title: Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy
Authors: Akihiro Takeda
Kazuyuki Koyama
Sanae Imoto
Masahiko Mori
Kotaro Sakai
Hiromi Nakamura
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-0981-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy

Abstract

Introduction

Case report

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case report

Conclusions

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