Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA, 19104, USA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
J Med Case Rep. 2021 Jul 9;15(1):356. doi: 10.1186/s13256-021-02917-z.
Uterine artery embolization in the treatment of uterine leiomyoma has been rarely associated with dislodgement and expulsion of infarcted uterine fibroids through the vagina, peritoneum, or bowel wall, predominantly occurring within 6 months of uterine artery embolization.
We present the case of a 54-year-old African American woman who underwent uterine artery embolization 11 years prior and developed mechanical small bowel obstruction from the migration of fibroid through a uteroenteric fistula with ultimate impaction within the distal small bowel lumen. Small bowel resection and hysterectomy were curative.
Uteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness.
子宫动脉栓塞术在子宫肌瘤的治疗中很少引起梗死的子宫肌瘤通过阴道、腹膜或肠壁移位和排出，主要发生在子宫动脉栓塞术后 6 个月内。
我们报告了一例 54 岁非裔美国妇女，11 年前接受了子宫动脉栓塞术，由于纤维瘤通过子宫肠瘘迁移导致机械性小肠梗阻，并最终在小肠远端腔内嵌顿。行小肠切除术和子宫切除术治愈。
由于肌瘤排出导致的子宫肠瘘和小肠梗阻可能是子宫动脉栓塞术后的迟发表现，需要提高认识。
