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Uteroenteric Fistula After Uterine Artery Embolization

Dewdney, Summer B.; Mani, Naganathan B. MD; Zuckerman, Darryl A. MD; Thaker, Premal H. MD

doi: 10.1097/AOG.0b013e31821082a3
Case Reports
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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.

A uteroenteric fistula can form after uterine artery embolization.

From 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.

The authors thank Dr. Margaret Baum and Dr. Amy Ravin for providing information regarding the patient.

Corresponding author: Summer Dewdney, MD, 4911 Barnes Jewish Hospital Plaza, Box 8064, Saint Louis, MO 63110; e-mail: dewdneys@wudosis.wustl.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists