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Buttock Necrosis After Uterine Artery Embolization

Dietz, Danielle M. MD; Stahlfeld, Kurt R. MD; Bansal, Surendra K. MD; Christopherson, Wayne A. MD

doi: 10.1097/01.AOG.0000141567.25541.26
Case Reports

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:

Received March 12, 2004. Received in revised form April 12, 2004. Accepted April 29, 2004.

© 2004 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.