Vesicouterine fistula after uterine artery embolization: a case report

Am J Obstet Gynecol. 2002 Dec;187(6):1726-7. doi: 10.1067/mob.2002.128989.

Abstract

Complications of uterine artery embolization (UAE) for treatment of leiomyoma uteri include contrast reactions, hematoma, postembolization syndrome, infection, pulmonary embolus, premature ovarian failure, and uterine necrosis. We present a case of vesicouterine fistula and extrusion of a degenerating leiomyoma into the bladder after UAE, necessitating hysterectomy and partial cystectomy for repair.

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Embolization, Therapeutic / adverse effects*
  • Female
  • Humans
  • Hysterectomy
  • Leiomyoma / therapy
  • Necrosis
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Urinary Bladder / pathology
  • Urinary Bladder / surgery
  • Urinary Bladder Fistula / diagnosis
  • Urinary Bladder Fistula / etiology*
  • Urinary Bladder Fistula / surgery
  • Urography
  • Uterine Diseases / diagnosis
  • Uterine Diseases / etiology*
  • Uterine Diseases / surgery
  • Uterine Neoplasms / therapy