Enterouterine fistula: A rare and unusual complication of uterine artery embolisation

An unusual cause of small bowel obstruction: Case report of spontaneous uteroenteric fistula

“…Cases of severe acute complications, including venous thromboembolism, intraperitoneal hemorrhage, mesenteric vein thrombosis, and fibroid torsion, have been reported 2 . The development of vesicovaginal, uterovaginal, uteroenteric, and uterocutaneous fistulas due to fibroids has also been described, most commonly following fibroid degeneration after surgical procedures or treatment with uterine artery embolization 3–8 . This case contributes to the growing literature regarding the management of complex gynecologic fistula and is a unique case of uteroenteric fistula causing mechanical small bowel obstruction managed with fertility‐sparing surgery 8 …”

Obstetric Haemorrhage

“…Two of these women required hysterectomy while the third made a slow recovery to eventually have return of menstrual function. Pandey et al (2012) describe a rare complication of uterine artery embolisation used in gynaecology to shrink uterine fibroids; eight months later their patient returned with vaginal discharge and a laparotomy performed when she continued to deteriorate found loops of small bowel adherent to the serosal surface of the fi broid and fi stulous discharge of enteric contents into the uterus.…”

Maximum Peak Systolic Velocity and Management of Highly Vascularized Retained Products of Conception

“…Complications after embolization include thromboembolic events, uterine perforation, vesicovaginal fistulas, spontaneous perforation of the transverse colon, uteroenteric fistulas, buttock necrosis, labial necrosis, and septic shock. [12][13][14][15][16][17][18][19][20][21][22][23] Embolization may also affect the ovarian reserve or cause synechiae, which impede fertility. 24,25 In cases of retained products of conception associated with heavy or persistent bleeding, the standard of care is surgical removal of the retained tissue.…”