title: Perforation of transverse colon: a catastrophic complication of uterine artery embolization for fibroids.
abstract: We report a case of a 43-year-old woman who underwent uterine artery embolization (UAE) for a symptomatic large fibroid uterus and had spontaneous perforation of the transverse colon 3 months after embolisation with near-fatal consequences. We believe this is the first reported case in the literature of this serious complication of UAE. We briefly review the literature on bowel complications after UAE and discuss lessons to be learned regarding patient selection and postprocedure follow-up.
authors.affiliation: Royal Bolton Hospital, Minerva Road, Farnworth, Bolton, Lancashire, BL4 0JR, UK. jyoacharya@yahoo.com
authors.forename: Jyotsna
authors.initials: J
authors.lastname: Acharya
authors.forename: Karen
authors.initials: K
authors.lastname: Bancroft
authors.forename: James
authors.initials: J
authors.lastname: Lay
mesh_terms: D000328:Adult; D044684:Colon, Transverse / Q000293:injuries*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D007889:Leiomyoma / Q000628:therapy*; D055357:Uterine Artery Embolization / Q000009:adverse effects*; D014594:Uterine Neoplasms / Q000628:therapy*