Rectouterine fistula after laparoscopic ultrasound-guided radiofrequency ablation of a uterine fibroid.
10.5468/ogs.2014.57.6.553
- Author:
Hyo Joo JEONG
1
;
Byung Su KWON
;
Young Joon CHOI
;
Chu Yeop HUH
Author Information
1. Department of Obstetrics and Gynecology, Kyung Hee University College of Medicine, Seoul, Korea. caduceus4u@naver.com
- Publication Type:Case Report
- Keywords:
Myolysis;
Radiofrequency catheter ablation;
Rectouterine fistula
- MeSH:
Burns;
Catheter Ablation*;
Endometriosis;
Female;
Fistula*;
Humans;
Leiomyoma*;
Uterus
- From:Obstetrics & Gynecology Science
2014;57(6):553-556
- CountryRepublic of Korea
- Language:English
-
Abstract:
In the conservative management of uterine fibroids is radiofrequency ablation (RFA) considered to be one of the safe, effective and minimal invasive approaches in selected women who desire to retain their uterus. Few studies were conducted on its adverse outcomes and most of the reported complications were minor events such as pain, discharge, adhesion which didn't require any intervention. However, although safe and effective, the RFA of a uterine myoma can be the cause for severe complications such as penetration and burn injuries of pelvic organs. In general, a rectouterine fistula is one of the rarest complications but can lead to serious adverse outcomes. Herein, to our knowledge, we report the first case involving a rectouterine fistula after laparoscopic ultrasound-guided RFA of a uterine myoma with pelvic endometriosis. In addition, we provide a brief review of the relevant literature.
