BACKGROUND: Uterine artery embolization is an increasingly popular alternative to hysterectomy or myomectomy for treatment of symptomatic uterine leiomyomata.
CASE: A woman with a symptomatic uterine fibroid developed 2 areas of full-thickness necrosis on her right buttock following uterine artery embolization. After surgical debridement, healing occurred over 14 weeks.
CONCLUSION: Buttock necrosis is a possible complication of nontarget embolization during uterine artery embolization.
Buttock necrosis may occur as a result of inadvertent nontarget embolization during uterine artery embolization for leiomyomata.
Departments of *Surgery, †Radiology, and ‡Obstetrics and Gynecology, The Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania
Address reprint requests to: Danielle M. Dietz, MD, Department of Surgery, The Mercy Hospital of Pittsburgh, 1400 Locust Street, Pittsburgh, PA 15219; e-mail: firstname.lastname@example.org.
Received March 12, 2004. Received in revised form April 12, 2004. Accepted April 29, 2004.