Sterling Lynn, Boutet Marianne, Colak Errol, Lefebvre Guylaine
Department of Obstetrics and Gynecology, St. Michael's Hospital, Toronto ON.
Department of Medical Imaging, St. Michael's Hospital, Toronto ON.
J Obstet Gynaecol Can. 2013 Sep;35(9):823-826. doi: 10.1016/S1701-2163(15)30839-2.
Uterine fibroid necrosis and infection is a rare but potentially serious event following uterine artery embolization (UAE). We describe a case of surgical removal of an infected necrotic uterine fibroid.
A 31-year-old Jehovah's Witness with severe anemia presented with sepsis following UAE. The uterus was preserved by performing transvaginal surgical removal. Final pathology demonstrated Escherichia Coli infection of the necrotic fibroid. The patient improved postoperatively.
Surgical removal of an infected necrotic fibroid may be a preferred option for women wishing to avoid hysterectomy following UAE. Appropriate case selection and optimization of hemoglobin concentration before UAE is important to minimize complications.
子宫肌瘤坏死和感染是子宫动脉栓塞术（UAE）后一种罕见但可能严重的事件。我们描述了一例手术切除感染坏死子宫肌瘤的病例。
一名31岁患有严重贫血的耶和华见证人在UAE后出现败血症。通过经阴道手术切除保留了子宫。最终病理显示坏死肌瘤有大肠杆菌感染。患者术后情况改善。
对于希望在UAE后避免子宫切除术的女性，手术切除感染坏死肌瘤可能是一个较好的选择。在UAE前进行适当的病例选择和优化血红蛋白浓度对于将并发症降至最低很重要。
