Goldberg Jay, Boyle Kristyne, Choi Monica, Panchal Narhari
Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, PA, USA.
Am J Obstet Gynecol. 2005 Sep;193(3 Pt 1):892-3. doi: 10.1016/j.ajog.2005.02.133.
After uterine fibroid embolization (UFE), the development of intra-abdominal adhesions, especially those involving the bowel, is a very rare complication. Seven months after UFE, a patient had a complete small bowel obstruction develop that was caused by an adhesive band between the posterior fibroid and cul-de-sac. She underwent an exploratory laparotomy, lysis of adhesion, and myomectomy. No bowel resection was needed. Inflammation after UFE may cause the development of intraperitoneal adhesions. We report an unanticipated case of a complete small bowel obstruction caused by an adhesion observed after UFE.
子宫纤维瘤栓塞术（UFE）后，腹腔粘连尤其是涉及肠道的粘连的发生是一种非常罕见的并发症。UFE术后七个月，一名患者出现了完全性小肠梗阻，这是由肌瘤后方与直肠子宫陷凹之间的粘连带所致。她接受了剖腹探查、粘连松解术和肌瘤切除术。无需进行肠切除术。UFE后的炎症可能导致腹膜粘连的形成。我们报告了一例UFE后观察到的由粘连引起的完全性小肠梗阻的意外病例。
