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Published on: December 20, 2014
Uteroenteric fistula after uterine artery embolization
Summer B Dewdney1, Naganathan B Mani, Darryl A Zuckerman
1From the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine and Siteman Cancer Center, St. Louis, Missouri; and the Section of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Background:
Uterine artery embolization is a common procedure for symptomatic leiomyomas and is being used as a less invasive alternative to a hysterectomy. This is a report of an uteroenteric fistula after uterine artery embolization.
Case:
A 50-year-old woman developed an uteroenteric fistula that was seen on a computed tomography scan 6 months after she had an uncomplicated uterine artery embolization for symptomatic leiomyomas. She was managed surgically with a hysterectomy and small bowel resection with reanastomosis.
Conclusion:
Uteroenteric fistula can occur as a complication of uterine artery embolization for leiomyoma management.
