Obstet Gynecol Sci.  2014 Nov;57(6):553-556. 10.5468/ogs.2014.57.6.553.

Rectouterine fistula after laparoscopic ultrasound-guided radiofrequency ablation of a uterine fibroid

• Jeong HJ
• Kwon BS
• Choi YJ
• Huh CY

• KMID: 2314027
• DOI: http://doi.org/10.5468/ogs.2014.57.6.553

Abstract

In the conservative management of uterine fibroids is radiofrequency ablation (RFA) considered to be one of the safe, effective and minimal invasive approaches in selected women who desire to retain their uterus. Few studies were conducted on its adverse outcomes and most of the reported complications were minor events such as pain, discharge, adhesion which didn't require any intervention. However, although safe and effective, the RFA of a uterine myoma can be the cause for severe complications such as penetration and burn injuries of pelvic organs. In general, a rectouterine fistula is one of the rarest complications but can lead to serious adverse outcomes. Herein, to our knowledge, we report the first case involving a rectouterine fistula after laparoscopic ultrasound-guided RFA of a uterine myoma with pelvic endometriosis. In addition, we provide a brief review of the relevant literature.

Keyword

Myolysis; Radiofrequency catheter ablation; Rectouterine fistula

MeSH Terms

Burns
Catheter Ablation*
Endometriosis
Female
Fistula*
Humans
Leiomyoma*
Uterus

Figure

• 

  Fig. 1 The colonoscopy shows a white, marginal protruding, mucosal defect about 9 cm above the anal verge.

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  Fig. 2 (A) The pelvic computed tomography and (B) hysterosalpingogram reveals a fistula between the posterior uterine wall and the rectum.

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