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Buttock necrosis following uterine artery embolization: A case report
Savitri Chandrasekaran1, Ramez Antakia1, Mojolaoluwa Olugbemi1
1West Suffolk Hospital, Hardwick Ln, Bury St Edmunds IP33 2QZ, United Kingdom.
International Journal of Surgery Case Reports
|December 10, 2022
Summary
Uterine artery embolization (UAE) can rarely cause buttock necrosis due to embolic material reflux. Early recognition is crucial for managing this serious complication and ensuring patient well-being.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Dermatology
Background:
- Uterine artery embolization (UAE) is a primary treatment for uterine fibroids.
- Interventional radiologists commonly perform this minimally invasive procedure.
- Awareness of rare complications is essential for patient safety.
Observation:
- A 37-year-old female developed a painful left buttock lesion 12 days post-UAE.
- Examination revealed extensive necrosis covering 40% of the buttock surface.
- This case highlights a rare but significant complication of UAE.
Findings:
- Buttock necrosis is an established complication following UAE.
- The likely cause is the reflux of embolic material into the gluteal artery.
- This complication can lead to extensive skin damage if not identified early.
Implications:
- The patient required debridement and plastic surgery for skin grafting.
- Early detection of buttock necrosis aids in timely management.
- Recognizing this complication improves patient outcomes and mental well-being.
