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KMID : 0358420170600050490
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 5 p.490 ~ p.493
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Delayed intestinal perforation and vertebral osteomyelitis after high-intensity focused ultrasound treatment for uterine leiomyoma
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Hwang Dong-Won
Song Hyun-Suk
Kim Hee-Sun
Chun Kyoung-Chul
Koh Jae-Whoan
Kim Young-Ah
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Abstract
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High-intensity focused ultrasound (HIFU) is a non-invasive uterine fibroid treatment option for patients who want to preserve fertility. However, according to several reports regarding ablation of solid tumors by HIFU, there are rare complications in patients with uterine leiomyomas, and overall data are still insufficient. Here, we report rare and major complications of HIFU, such as delayed intestinal perforation, uterine perforation with recto-uterine fistula, and osteomyelitis 29 days after the HIFU procedure to treat multiple myomas. Thus, we present a very serious case resulting from HIFU treatment of uterine fibroids and a review of the literature.
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KEYWORD
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High-intensity focused ultrasound, Uterine leiomyoma, Delayed intestinal perforation, Osteomyelitis
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