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

Li-Ying Huang, Huang LY, Liyun Huang, Yu-Fan Cheng, Cheng YF, Y-F Cheng, Chao-Cheng Huang, Huang CC, Ching-Yun Huang, Shiuh-Young Chang, Sin-Yuen Chang, Chang SY, 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
📄 Open PDF View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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.

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosis

MeSH descriptors

Embolization, Therapeutic Endometriosis Escherichia coli Infections Urinary Bladder Diseases Uterine Diseases Uterus Adult Adult Arteries Arteries Embolization, Therapeutic Embolization, Therapeutic Endometriosis Endometriosis Endometriosis Endometriosis Escherichia coli Infections Escherichia coli Infections Escherichia coli Infections Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (18)

Cited by (11)

Source provenance

europepmc
last seen: 2026-10-20T06:13:28.455750+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:00:51.939714+00:00
License: CC0 · commercial use OK