Progressive formation of uterine arteriovenous fistula after laparoscopic-assisted myomectomy.

Abstract:

INTRODUCTION:Laparoscopic-assisted myomectomy (LAM) is a minimally invasive procedure with many advantages. However, progressive formation of uterine arteriovenous fistula (AVF) after LAM is not described as a significant complication. CASE REPORT:A 39-year-old nulligravida underwent LAM for multiple myomas. On ultrasonography obtained 13 days after LAM, a prominent vascular mass was identified in the post-myomectomy scar. Computed tomographic angiography showed AVF originating from the left uterine artery. Uterine AVF was endovascularly embolized by metallic coils to avoid future hemorrhage. CONCLUSIONS:Development of uterine AVF after LAM is a potentially life-threatening complication. Early diagnosis and endovascular management can provide a significant benefit for a woman wishing uterine preservation.

journal_name

Arch Gynecol Obstet

authors

Takeda A,Koyama K,Imoto S,Mori M,Sakai K,Nakamura H

doi

10.1007/s00404-009-0981-8

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

663-7

issue

4

eissn

0932-0067

issn

1432-0711

journal_volume

280

pub_type

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