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Delayed intestinal perforation and vertebral osteomyelitis after high-intensity focused ultrasound treatment for uterine leiomyoma

대한산부인과학회지 2017년 60권 5호 p.490 ~ 493
 ( Hwang Dong-Won ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology

 ( Song Hyun-Suk ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
 ( Kim Hee-Sun ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
 ( Chun Kyoung-Chul ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
 ( Koh Jae-Whoan ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
 ( Kim Young-Ah ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology

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.

키워드

High-intensity focused ultrasound; Uterine leiomyoma; Delayed intestinal perforation; Osteomyelitis
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