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Obstetrics & Gynecology 2002;100:881-882
© 2002 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Labial Necrosis After Uterine Artery Embolization for Leiomyomata

Thomas J. Yeagley, MD, Jay Goldberg, MD, Thomas A. Klein, MD and Joseph Bonn, MD

Departments of Obstetrics and Gynecology and Radiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania

Address reprint requests to: Thomas J. Yeagley, MD, Jefferson Medical College, Thomas Jefferson University, Department of Obstetrics and Gynecology, 834 Chestnut Street, Suite 400, Philadelphia, PA 19107; E-mail: thomas.yeagley{at}mail.tju.edu.

ABSTRACT

BACKGROUND: Uterine artery embolization is increasingly used as an alternative to myomectomy, hysterectomy, and medical treatment for the management of symptomatic leiomyomata.

CASE: A woman with an 18-week–size fibroid uterus who underwent uterine artery embolization developed a 3-cm, exquisitely tender, hypopigmented, necrotic-appearing area on the right labium minus. Spontaneous resolution occurred over 4 weeks.

CONCLUSION: Labial necrosis is a possible complication of uterine artery embolization and may be successfully managed with conservative therapy.




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