Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, NJ, USA.
Department of Obstetrics and Gynecology, University of Los Angeles - California, Los Angeles, CA, USA.
Minim Invasive Ther Allied Technol. 2022 Apr;31(4):646-648. doi: 10.1080/13645706.2020.1864407. Epub 2021 Jan 5.
Hysteroscopy and hysteroscopic myomectomy in general have low complication rates. Two patients underwent hysteroscopic myomectomy for prolapsing submucous myomas after UAE. The onset of prolapsing myoma occurred at varying times between completion of UAE and myomectomy, resulting in bacteremia for both patients. In Case 1, the patient recovered with intravenous antibiotic treatment. However, the patient in Case 2 had status improvement after undergoing an abdominal myomectomy, explorative laparotomy for removal of a necrotic myoma. Our two patient cases serve as a caution to clinicians regarding the rare incidence of septicemia occurring in patients undergoing hysteroscopic myomectomy with prior UAE treatment for prolapsing myomas.
宫腔镜检查和宫腔镜子宫肌瘤切除术总体并发症发生率较低。两名患者在 UAE 后因突入宫腔的黏膜下肌瘤而行宫腔镜子宫肌瘤切除术。突入宫腔的肌瘤在 UAE 和子宫肌瘤切除之间的不同时间发生，导致两名患者均发生菌血症。在病例 1 中，患者经静脉抗生素治疗后痊愈。然而，病例 2 中的患者在接受腹部子宫肌瘤切除术、剖腹探查术切除坏死肌瘤后病情有所改善。我们的两例患者病例提醒临床医生注意，对于先前因突入宫腔的肌瘤接受 UAE 治疗而行宫腔镜子宫肌瘤切除术的患者，罕见发生败血症。
