Gavrilescu Tudor, Sherer David M, Temkin Sarah, Zinn Harry, Abulafia Ovadia
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn 11203-2098, USA.
J Reprod Med. 2006 Sep;51(9):739-41.
Previously described surgical complications following uterine artery embolization for leiomyomata include sequelae of uterine aberrant embolization (buttock and labial necrosis, vesicouterine fistula), prolapsed cervical myoma, uterine necrosis, ischemic uterine rupture and sepsis.
A 43-year-old woman presented with severe abdominal pain, nausea and vomiting 7 days after bilateral uterine artery embolization for symptomatic leiomyomata. Mechanical obstruction of the distal ileum was diagnosed and did not respond to conservative measures. At laparotomy, volvulus of the distal ileum, which adhered to omental and uterine adhesions, required resection and end-to-end anastomosis.
Volvulus may occur following uterine artery embolization for leiomyomata.
先前描述的子宫肌瘤子宫动脉栓塞术后手术并发症包括子宫异常栓塞的后遗症(臀部和阴唇坏死、膀胱子宫瘘)、宫颈肌瘤脱垂、子宫坏死、缺血性子宫破裂和败血症。
一名43岁女性在因有症状的子宫肌瘤行双侧子宫动脉栓塞术后7天出现严重腹痛、恶心和呕吐。诊断为回肠末端机械性梗阻,保守治疗无效。剖腹手术时,与网膜和子宫粘连的回肠末端肠扭转需要切除并端端吻合。
子宫肌瘤子宫动脉栓塞术后可能发生肠扭转。