Nikolic Boris, Nguyen Khoa, Martin Louis G, Redd Doug C M, Best Irvin, Silverstein Mark I
Department of Vascular and Interventional Radiology, Emory University Hospital, Atlanta, Georgia, USA. boris,
J Vasc Interv Radiol. 2004 Mar;15(3):297-301. doi: 10.1097/01.rvi.0000116187.30591.00.
The authors describe a case of the development of a pyosalpinx from a preexisting hydrosalpinx after uterine artery embolization (UAE) for leiomyomata. The hydrosalpinx preexisted the UAE procedure and did not cause the patient any symptoms or signs of infection. UAE was performed with standard technique and was technically as well as initially clinically successful. However, the patient presented 8 weeks post-UAE with a pyosalpinx and superinfection of the previously simple fluid collection, requiring treatment with hysterectomy and oophorectomy. A mechanism for the occurrence of this superinfection is proposed, and potential strategies to avoid this serious complication in the future are discussed.
作者描述了一例因子宫肌瘤接受子宫动脉栓塞术（UAE）后，由先前存在的输卵管积水发展为输卵管积脓的病例。输卵管积水在UAE手术前就已存在，未给患者造成任何感染症状或体征。UAE采用标准技术进行，在技术上以及最初的临床效果上均取得成功。然而，患者在UAE术后8周出现输卵管积脓以及先前单纯性液体聚集的严重感染，需要进行子宫切除术和卵巢切除术治疗。本文提出了这种严重感染发生的机制，并讨论了未来避免这种严重并发症的潜在策略。
