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

نویسندگان

  • Dong Won Hwang
  • Hyun Suk Song
  • Hee Sun Kim
  • Kyoung Chul Chun
  • Jae Whoan Koh
  • Young Ah Kim
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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

We read with interest the article by Hwang et al. [1] which reported a case of delayed intestinal perforation, uterine perforation with recto-uterine fistula and vertebral osteomyelitis 29 days after high-intensity focused ultrasound (HIFU) treatment for uterine leiomyoma. This article reminds physicians that while HIFU is increasingly being considered an effective and safe option for treatment...

متن کامل

Therapeutic effects of high intensity focused ultrasound for in patients with benign uterine tumors with regard to lifestyle and obstetric characteristics

Background: The present investigation compared the decrease in the volume of benign tumor before and after High Intensity Focused Ultrasound (HIFU) treatment to evaluate the therapeutic effects of HIFU. in terms of Lifestyle and obstetric characteristics of in patients with Benign Uterine Tumors. Materials and Methods: To collect the data on each patients’ lifestyle and obstetric characteristic...

متن کامل

Review of magnetic resonance-guided focused ultrasound in the treatment of uterine fibroids

Uterine leiomyoma is the most frequently occurring solid pelvic tumor in women during the reproductive period. Magnetic resonance-guided high-intensity focused ultrasound is a promising technique for decreasing menorrhagia and dysmenorrhea in symptomatic women. The aim of this study is to review the role of Magnetic resonance-guided high-intensity focused ultrasound in the treatment of uterine ...

متن کامل

Sustained relief of leiomyoma symptoms by using focused ultrasound surgery.

OBJECTIVE To assess several measures of the long-term outcome of magnetic resonance-guided focused ultrasound surgery for symptomatic uterine leiomyomata. METHODS Data on 359 women completing 24-month follow-up in all clinical trials of magnetic resonance-guided focused ultrasound surgery for uterine leiomyomata were analyzed. Quality of life outcomes, measured by the symptom severity score o...

متن کامل

Non-invasive treatment of uterine fibroids using MR guided high intensity focused ultrasound: results on quality of life, non-perfused volume ratio and size reduction over 12 months

Materials and method 110 leiomyomas in 98 women (average age 39,3 years) were treated with MRI-guided focused ultrasound (MRgFUS). The treatment is carried out using the ablative properties of the HIFU system under 3T MRI guide. Symptoms (e.g. menorrhagia, pelvic pain) were scored using Severity Score (SS) and quality of life was determined using the UFS-QOL score. Pre-treatment measurementes o...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 60  شماره 

صفحات  -

تاریخ انتشار 2017