Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility Olivier Donnez, M.D.,

Slides:

Advertisements

Similar presentations

First series of 18 pregnancies after ulipristal acetate treatment for uterine fibroids Mathieu Luyckx, M.D., Jean-Luc Squifflet, M.D., Ph.D., Pascale Jadoul,

Advertisements

Mathieu Luyckx, M. D. , Jean-Luc Squifflet, M. D. , Ph. D

Surgical treatment of ovarian endometriomas: state of the art?

Elena Cerviño, M. D. , Carlos López Ramón y Cajal, M. D. , Ph. D

Uterine artery embolization, hysterectomy, or myomectomy for symptomatic uterine fibroids: a cost-utility analysis Joyce H.S. You, Pharm.D., B.C.P.S.,

Uterus-sparing operative treatment for adenomyosis

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D.,

Benefit of uterine artery ligation in laparoscopic myomectomy

Complete septate uterus with longitudinal vaginal septum

Hyacinth N. Browne, M.D., Richard Sherry, M.D., Pamela Stratton, M.D.

Pierre-François Ceccaldi, M. D. , Thuy Nguyen, M. D

Christine Jablonski, M. D. , Marco Alifano, M. D

Gynecological and obstetrical outcomes after laparoscopic repair of a cesarean scar defect in a series of 38 women Olivier Donnez, M.D., Ph.D., Jacques.

Appearance of uterine perforation by hysterosalpingography

Uterus-sparing operative treatment for adenomyosis

Michael M. Alper, M.D. Fertility and Sterility

Suguru Igarashi, M. D. , Ph. D. , Shinichirou Izuchi, M. D

Angel Chao, M. D. , Ph. D, An-Shine Chao, M. D. , Tzu-Hao Wang, M. D

Unusual uterus didelphys presenting in the retroperitoneum

The pathophysiology of uterine adenomyosis: an update

Conservative management of cervical ectopic pregnancy

Live birth after allografting of ovarian cortex between monozygotic twins with Turner syndrome (45,XO/46,XX mosaicism) and discordant ovarian function

Aberrant implantation and growth of uterine leiomyoma in the abdominal wall after laparoscopically assisted myomectomy Osamu Wada-Hiraike, M.D., Ph.D.,

Strategy of cervical myomectomy under laparoscopy

Secondary postpartum hemorrhage due to a pseudoaneurysm rupture at the fundal area of the uterus: a case treated with selective uterine arterial embolization

Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis See-Tong Pang, M.D., Ph.D., Angel Chao,

Induction of endometriotic nodules in an experimental baboon model mimicking human deep nodular lesions Olivier Donnez, M.D., Anne Van Langendonckt,

Florid endometriosis in a postmenopausal woman

Conservative surgical management for diffuse uterine adenomyosis

Cervical intramural ectopic pregnancy

Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage Eray Caliskan, M.D., Yiğit Cakiroglu, M.D.,

Invasion process of induced deep nodular endometriosis in an experimental baboon model: similarities with collective cell migration? Olivier Donnez,

Olivier Donnez, M. D. , Pascale Jadoul, M. D. , Jean Squifflet, M. D

Pelvic mass in a woman with Mayer-Rokitansky-Kuster-Hauser syndrome

Successful pregnancy outcome with the use of in vitro fertilization after Essure® hysteroscopic sterilization John F. Kerin, M.D., Ph.D., Stephen Cattanach,

Pseudoaneurysm of the uterine artery after laparoscopic myomectomy

With the advent of selective progesterone receptor modulators, what is the place of myoma surgery in current practice? Jacques Donnez, M.D., Ph.D., Olivier.

Nicolas Bourdel, M. D. , Toby Collins, Ph. D. , Daniel Pizarro, Ph. D

Olivier Donnez, M. D. , Pascale Jadoul, M. D. , Jean Squifflet, M. D

Gadolinium radiologic contrast is a useful alternative for hysterosalpingography in patients with iodine allergy Dorette Noorhasan, M.D., Michael J.

Parasitic myomas after laparoscopic myomectomy: case report

Radiographic and hysteroscopic findings of a placental site nodule

Chronic isolated fallopian tube torsion

Virtual hysterosalpingography and hysteroscopy: assessment of uterine cavity and fallopian tubes using 64-detector computed tomography data sets Onder.

Andrea Tinelli, M.D., Raffaele Tinelli, M.D., Antonio Malvasi, M.D.

Management of tubal ectopic pregnancy: methotrexate and salpingostomy are preferred to preserve fertility Stephanie Beall, M.D., Ph.D., Alan H. DeCherney,

Uterine artery embolization, hysterectomy, or myomectomy for symptomatic uterine fibroids: a cost-utility analysis Joyce H.S. You, Pharm.D., B.C.P.S.,

Michiel Simons, M. D. , Tjalina W. O. Hamerlynck, M. D

Conservative management of nontubal ectopic pregnancies

Interstitial pregnancy

Resectoscopic treatment of ectopic pregnancy in previous cesarean delivery scar defect with vasopressin injection Yu Chang, M.D., Nari Kay, M.D., Yung.

Mucocele of the appendix causing tubal factor infertility

Karolyn Sassi Ogliari, M. D. , Soraya Vecci Mohallem, M. D

Pascale Jadoul, M. D. , Jacques Donnez, M. D. , Ph. D

Uterine necrosis and sepsis after vascular embolization and surgical ligation in a patient with postpartum hemorrhage Céline Pirard, M.D., Jean Squifflet,

Conservative management of a near-term cervico-isthmic pregnancy, followed by a successful subsequent pregnancy: a case report Gilles Kayem, M.D., Ph.D.,

Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage Ciaran A. Goojha, M.D., Allison Case, M.D.,

Three-dimensional computed tomography combined with hysterosalpingography is useful for both diagnosis and treatment of iatrogenic diverticulum of the.

Mathieu Luyckx, M. D. , Jean-Luc Squifflet, M. D. , Ph. D

María A. Higón, M. D. , Santiago Domingo, M. D. , Celia Bauset, M. D

Hwa Sook Moon, M. D. , Ph. D. , Ja Seong Koo, M. D. , Sea Hee Park, M

Sedigheh Borna, M.D., Azita Nasery, M.D. Fertility and Sterility

Laparoscopic observation of spontaneous human ovulation

Absence of endometrium as a cause of primary amenorrhea

Current evaluation of amenorrhea

Jacques Donnez, M. D. , Ph. D. , Jean Squifflet, M. D

Unusual growth of a myoma during pregnancy

What if deep endometriotic nodules and uterine adenomyosis were actually two forms of the same disease? Jacques Donnez, M.D., Ph.D., Marie-Madeleine.

Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance Ching-Hui.

Rudimentary uterine horn pregnancy: a mystery diagnosis

Presentation transcript:

Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility Olivier Donnez, M.D., Pascale Jadoul, M.D., Jean Squifflet, M.D., Jacques Donnez, M.D., Ph.D. Fertility and Sterility Volume 90, Issue 5, Pages 2007.e5-2007.e9 (November 2008) DOI: 10.1016/j.fertnstert.2008.05.091 Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Hysterosalpingography revealed a normal-sized uterine cavity and fallopian tubes, but the presence of a fistula running through the right uterine wall (white arrow). (B) Transverse MRI of T2-weighted images showed the presence of a right lateral wall fistula through the whole thickness of the myometrium (white arrow). Fertility and Sterility 2008 90, 2007.e5-2007.e9DOI: (10.1016/j.fertnstert.2008.05.091) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Laparoscopy easily identified the subserosal defect on the right anterolateral side of the uterus (white arrow). (B) Hysteroscopy confirmed the presence of a 1-cm internal orifice (black arrows) 2 cm beyond the right ostium (white arrow). Fertility and Sterility 2008 90, 2007.e5-2007.e9DOI: (10.1016/j.fertnstert.2008.05.091) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 3 (A) After opening the serosa, the external orifice of the fistula was clearly identified (black circle). (B) Final view of the repair after closing the myometrium and serosa using separate 2/0 Vicryl sutures. Fertility and Sterility 2008 90, 2007.e5-2007.e9DOI: (10.1016/j.fertnstert.2008.05.091) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 4 (A) Transverse MRI of T2-weighted images showed complete integrity of the right lateral uterine wall at the site where the fistula was located (white arrow). (B) Hysterosalpingography confirmed closure of the fistula and complete correction of the defect (white arrow). Fertility and Sterility 2008 90, 2007.e5-2007.e9DOI: (10.1016/j.fertnstert.2008.05.091) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions