Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report

BACKGROUND: 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. CASE PRESENTAT...

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Autores principales: Roberson, Jeffrey L., Krumeich, Lauren N., Darwich, Nabil F., Babatunde, Victor, Laczko, Dorottya, Albee, Andrew, Yang, Zhaohai, Jack, Amr El, Shlansky-Goldberg, Richard, DeAgostino-Kelly, Mary, Braslow, Benjamin M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268189/
https://www.ncbi.nlm.nih.gov/pubmed/34238340
http://dx.doi.org/10.1186/s13256-021-02917-z
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author Roberson, Jeffrey L.
Krumeich, Lauren N.
Darwich, Nabil F.
Babatunde, Victor
Laczko, Dorottya
Albee, Andrew
Yang, Zhaohai
Jack, Amr El
Shlansky-Goldberg, Richard
DeAgostino-Kelly, Mary
Braslow, Benjamin M.
author_facet Roberson, Jeffrey L.
Krumeich, Lauren N.
Darwich, Nabil F.
Babatunde, Victor
Laczko, Dorottya
Albee, Andrew
Yang, Zhaohai
Jack, Amr El
Shlansky-Goldberg, Richard
DeAgostino-Kelly, Mary
Braslow, Benjamin M.
author_sort Roberson, Jeffrey L.
collection PubMed
description BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSIONS: Uteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness.
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spelling pubmed-82681892021-07-09 Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report Roberson, Jeffrey L. Krumeich, Lauren N. Darwich, Nabil F. Babatunde, Victor Laczko, Dorottya Albee, Andrew Yang, Zhaohai Jack, Amr El Shlansky-Goldberg, Richard DeAgostino-Kelly, Mary Braslow, Benjamin M. J Med Case Rep Case Report BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSIONS: Uteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness. BioMed Central 2021-07-09 /pmc/articles/PMC8268189/ /pubmed/34238340 http://dx.doi.org/10.1186/s13256-021-02917-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Roberson, Jeffrey L.
Krumeich, Lauren N.
Darwich, Nabil F.
Babatunde, Victor
Laczko, Dorottya
Albee, Andrew
Yang, Zhaohai
Jack, Amr El
Shlansky-Goldberg, Richard
DeAgostino-Kelly, Mary
Braslow, Benjamin M.
Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title_full Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title_fullStr Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title_full_unstemmed Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title_short Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
title_sort fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268189/
https://www.ncbi.nlm.nih.gov/pubmed/34238340
http://dx.doi.org/10.1186/s13256-021-02917-z
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