Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report

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 presentati...

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Published inJournal of medical case reports Vol. 15; no. 1; pp. 1 - 356
Main Authors Roberson, Jeffrey L, Krumeich, Lauren N, Darwich, Nabil F, Babatunde, Victor, Laczko, Dorottya, Albee, Andrew, Yang, Zhaohai, Jack, Amr El, Shlansky-Goldberg, Richard, DeAgostino-Kelly, Mary, Braslow, Benjamin M
Format Journal Article
LanguageEnglish
Published London BioMed Central Ltd 09.07.2021
BioMed Central
BMC
Subjects
Abdomen
African American women
Calcification
Case Report
Case reports
Diagnosis
Edema
Embolization
Fibroid
Fibroids
Fistula
Gallstones
Gastrointestinal diseases
Hysterectomy
Intestinal obstruction
Kidneys
Magnetic resonance imaging
Mesentery
Polyvinyl alcohol
Small bowel obstruction
Small intestine
Uterine artery embolization
Uteroenteric fistula
Uterus
United Arab Emirates
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Summary: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. Keywords: Uteroenteric fistula, Fibroid, Small bowel obstruction, Uterine artery embolization, Case report
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ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-021-02917-z