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Cardiovasc Intervent Radiol. 2012 Oct;35(5):1231-6. Epub 2011 Dec 10.

Uteroenteric fistula resulting from fibroid expulsion after uterine fibroid embolization: case report and review of the literature.

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  • 1School of Medicine, Stanford University, Stanford, CA 94305-5101, USA. lbgutier@stanford.edu

Abstract

A 44-year-old woman underwent uncomplicated uterine fibroid embolization (UFE) for menstrual and bulk-related symptoms in an enlarged, myomatous uterus. After surgery, she spontaneously sloughed a large mass of fibroids that arrested in the cervical canal during passage. Four days after gynecological extraction, she developed copious vaginal discharge that contained enteric contents. Contrast-enhanced computed tomography (CT) demonstrated a fistula between the small bowel and the uterus. She subsequently underwent hysterectomy, left oophorectomy, and small-bowel resection. Her postoperative recovery was uneventful.

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