Abstract

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.

Details

Title
Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report
Author
Roberson, Jeffrey L  VIAFID ORCID Logo  ; Krumeich, Lauren N; Darwich, Nabil F; Babatunde, Victor; Laczko, Dorottya; Albee, Andrew; Yang, Zhaohai; Amr El Jack; Shlansky-Goldberg, Richard; DeAgostino-Kelly, Mary; Braslow, Benjamin M
Pages
1-7
Section
Case report
Publication year
2021
Publication date
2021
Publisher
BioMed Central
e-ISSN
17521947
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s13256-021-02917-z
ProQuest document ID
2553293334
Copyright
© 2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.