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

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Presentation on theme: "Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility  Olivier Donnez, M.D.,"— Presentation transcript:

1 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.e e9 (November 2008) DOI: /j.fertnstert Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

2 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  , 2007.e e9DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

3 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  , 2007.e e9DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

4 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  , 2007.e e9DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

5 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  , 2007.e e9DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions


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