Small bowel volvulus after uterine artery embolization requiring bowel resection: a case report.
BACKGROUND
Previously described surgical complications following uterine artery embolization for leiomyomata include sequelae of uterine aberrant embolization (buttock and labial necrosis, vesicouterine fistula), prolapsed cervical myoma, uterine necrosis, ischemic uterine rupture and sepsis.


METHODS
A 43-year-old woman presented with severe abdominal pain, nausea and vomiting 7 days after bilateral uterine artery embolization for symptomatic leiomyomata. Mechanical obstruction of the distal ileum was diagnosed and did not respond to conservative measures. At laparotomy, volvulus of the distal ileum, which adhered to omental and uterine adhesions, required resection and end-to-end anastomosis.


CONCLUSIONS
Volvulus may occur following uterine artery embolization for leiomyomata.
Gavrilescu
Tudor
T
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn 11203-2098, USA.
Sherer
David M
DM
Temkin
Sarah
S
Zinn
Harry
H
Abulafia
Ovadia
O
D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D045823:Ileus / Q000601:surgery; D045822:Intestinal Volvulus / Q000209:etiology* / Q000601:surgery; D007889:Leiomyoma / Q000628:therapy*