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CardioVascular and Interventional Radiology

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01-12-2012 | Case Report

Perforation of Transverse Colon: A Catastrophic Complication of Uterine Artery Embolization for Fibroids

Authors: Jyotsna Acharya, Karen Bancroft, James Lay

Published in: CardioVascular and Interventional Radiology | Issue 6/2012

Abstract

We report a case of a 43-year-old woman who underwent uterine artery embolization (UAE) for a symptomatic large fibroid uterus and had spontaneous perforation of the transverse colon 3 months after embolisation with near-fatal consequences. We believe this is the first reported case in the literature of this serious complication of UAE. We briefly review the literature on bowel complications after UAE and discuss lessons to be learned regarding patient selection and postprocedure follow-up.

Hirst A, Dutton S, Wu O et al (2008) A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study. Health Technol Assess 12(5):1–248PubMed

Spies JB, Spector A, Roth AR, Baker CM et al (2002) Complications after uterine artery embolization for leiomyomas. Obstet Gynecol 100:873–880PubMedCrossRef

Godfrey CD, Zbella EA (2001) Uterine necrosis after uterine artery embolization for leiomyoma. Am Coll Obstet Gynecol 98:950–952

Goldberg J, Boyle K, Choi M et al (2005) Small bowel obstruction due to adhesive disease observed. Am J Obstet Gynaecol 193:892–893CrossRef

Vashisht A, Studd J, Carey A, Burn P (1999) Fatal septicaemia after fibroid embolisation. Lancet 354:307–308PubMedCrossRef

Hamoda H, Tait P, Edmonds DK (2009) Fatal pulmonary embolus after uterine artery fibroid embolisation. Cardiovasc Intervent Radiol 32:1080–1082PubMedCrossRef

Virmani V, Fasih N, Rakhra K (2011) Intraluminal bowel obstruction by a detached fibroid—an extremely unusual complication of uterine artery embolization. Clin Radiol 66:795–797PubMedCrossRef

Partipun AA, Taylor J, Manyonda I et al (2010) Does size really matter? Analysis of the effect of large fibroids and uterine volumes on complication rates of uterine artery embolisation. Cardiovasc Intervent Radiol 33:955–959CrossRef

Vott S, Bonilla SM, Goodwin SC et al (2000) CT findings after uterine artery embolization. J Comput Assist Tomogr 24:846–848PubMedCrossRef

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Kirby JM, Burrows D, Haider E et al (2011) Utility of MRI before and after uterine fibroid embolization: why to do it and what to look for. Cardiovasc Intervent Radiol 34:705–716PubMedCrossRef

Title: Perforation of Transverse Colon: A Catastrophic Complication of Uterine Artery Embolization for Fibroids
Authors: Jyotsna Acharya
Karen Bancroft
James Lay
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2012
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-012-0349-5

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Springer Medicine

Perforation of Transverse Colon: A Catastrophic Complication of Uterine Artery Embolization for Fibroids

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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