Delayed intestinal perforation and vertebral osteomyelitis after high-intensity focused ultrasound treatment for uterine leiomyoma.
10.5468/ogs.2017.60.5.490
- Author:
Dong Won HWANG
1
;
Hyun Suk SONG
;
Hee Sun KIM
;
Kyoung Chul CHUN
;
Jae Whoan KOH
;
Young Ah KIM
Author Information
1. Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University School of Medicine, Goyang, Korea. camanbal@paik.ac.kr
- Publication Type:Case Report
- Keywords:
High-intensity focused ultrasound;
Uterine leiomyoma;
Delayed intestinal perforation;
Osteomyelitis
- MeSH:
Fertility;
Fistula;
Humans;
Intestinal Perforation*;
Leiomyoma*;
Myoma;
Osteomyelitis*;
Ultrasonography*;
Uterine Perforation
- From:Obstetrics & Gynecology Science
2017;60(5):490-493
- CountryRepublic of Korea
- Language:English
-
Abstract:
High-intensity focused ultrasound (HIFU) is a non-invasive uterine fibroid treatment option for patients who want to preserve fertility. However, according to several reports regarding ablation of solid tumors by HIFU, there are rare complications in patients with uterine leiomyomas, and overall data are still insufficient. Here, we report rare and major complications of HIFU, such as delayed intestinal perforation, uterine perforation with recto-uterine fistula, and osteomyelitis 29 days after the HIFU procedure to treat multiple myomas. Thus, we present a very serious case resulting from HIFU treatment of uterine fibroids and a review of the literature.
