Related Experiment Video
Updated: Aug 14, 2025
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Complex Gynecologic Fistulas Presenting 10 Years After Uterine Artery Embolization
Ioana Fugaru1, Cora Fogaing, Sarah Aldhaheri
1Division of Urology, Department of Surgery, and the Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
Background:
Uterine artery embolization (UAE) is a minimally invasive procedure for treatment of symptomatic uterine leiomyomas, but long-term complications are under-reported.
Case:
This is the case of a healthy 51-year-old woman who had previously undergone UAE for symptomatic uterine leiomyomas. The patient presented with gross hematuria and pelvic pain 10 years later. She was found to have both a vesicouterine and a uteroduodenal fistula. The patient was successfully treated with hysterectomy, excision of the vesicouterine fistula, partial cystectomy, excision of the duodenal fistula, and primary duodenal repair.
Conclusion:
Complex gynecologic fistulas may occur as a long-term complication in symptomatic women with a history of UAE.
