title: Uteroenteric fistula resulting from fibroid expulsion after uterine fibroid embolization: case report and review of the literature.
abstract: A 44-year-old woman underwent uncomplicated uterine fibroid embolization (UFE) for menstrual and bulk-related symptoms in an enlarged, myomatous uterus. After surgery, she spontaneously sloughed a large mass of fibroids that arrested in the cervical canal during passage. Four days after gynecological extraction, she developed copious vaginal discharge that contained enteric contents. Contrast-enhanced computed tomography (CT) demonstrated a fistula between the small bowel and the uterus. She subsequently underwent hysterectomy, left oophorectomy, and small-bowel resection. Her postoperative recovery was uneventful.
authors.affiliation: School of Medicine, Stanford University, Stanford, CA 94305-5101, USA. lbgutier@stanford.edu
authors.forename: Luis B
authors.initials: LB
authors.lastname: Gutierrez
authors.forename: Anshuman K
authors.initials: AK
authors.lastname: Bansal
authors.forename: David M
authors.initials: DM
authors.lastname: Hovsepian
mesh_terms: D000328:Adult; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery; D007889:Leiomyoma / Q000628:therapy*; D010052:Ovariectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014591:Uterine Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D014594:Uterine Neoplasms / Q000628:therapy*; D019522:Vaginal Discharge
chemical_list: D003287:Contrast Media