Incomplete vaginal expulsion of pyoadenomyoma with sepsis and focal bladder necrosis after uterine artery embolization for symptomatic adenomyosis: Case report

Li-Ying Huang, Liyun Huang, Yu-Fan Cheng, Y.-F. Cheng, Ching-Yun Huang, Chao-Cheng Huang, Shiuh-Young Chang, Sin-Yuen Chang, Fu-Tsai Kung, Fu‐Tsai Kung
Human Reproduction · 2003 · vol. 18(1) , pp. 167–171 · doi:10.1093/humrep/deg035 · PMID:12525461 · W2104194437
review OA: bronze CC0 ⤵ 12 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report describes a patient who experienced incomplete vaginal expulsion of pyoadenomyoma, sepsis, and focal bladder necrosis after uterine artery embolization for adenomyosis, but recovered without surgery after antibiotic treatment and vaginal expulsion.

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Abstract

The major complications secondary to uterine artery embolization (UAE) are rare. We report a case involving a patient who underwent UAE for symptomatic adenomyosis, and experienced complications including incomplete vaginal expulsion of a large focal pyoadenomyosis, sepsis and focal bladder necrosis. The serial changes of uterine echogenicity reflected the intracavity sloughing tissue, and cystourethroscopy revealed a focal bladder necrosis. Administration of appropriate antibiotics and timely expulsion of the focal pyoadenomyosis vaginally resulted in successful preservation of the uterus and spontaneous recovery of focal bladder necrosis without surgical intervention. A review of the relevant literature was conducted to explore the mechanisms of bladder necrosis after UAE, summarize post-embolization intervention and the outcome of vaginally expelled myoma, and to discuss the value of UAE for adenomyosis.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Embolization, Therapeutic Endometriosis Escherichia coli Infections Urinary Bladder Diseases Uterine Diseases Uterus Adult Arteries Embolization, Therapeutic Endometriosis Endometriosis Endometriosis Escherichia coli Infections Escherichia coli Infections Female Humans Necrosis Suppuration Ultrasonography Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (18)

Cited by (12)

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License: CC0 · commercial use OK