Buttock necrosis following uterine artery embolization: a case report.

IF 1.1 4区医学 Q3 DERMATOLOGY Wounds : a compendium of clinical research and practice Pub Date : 2025-01-01

Cooper Wardell, Steven Whitworth, Jennifer Wolfe

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引用次数: 0

Abstract

Background: Uterine artery embolization (UAE) is an increasingly common procedure for the management of uterine leiomyoma (fibroid). Up to 70% of White women and more than 80% of women of African ancestry will develop benign fibroid tumors of the uterus, many of whom will have symptoms including increased menstrual bleeding, urinary symptoms, pain, and infertility. When medical management does not adequately treat symptoms, UAE is a minimally invasive surgical treatment option. Nontarget embolization is a rare complication of this procedure and can result in soft tissue necrosis. Few case reports describe this phenomenon.

Case report: A 46-year-old female presented to the wound clinic 5 months after UAE. Following this procedure, the patient developed burning pain in the thigh and buttock. After 5 weeks, a small eschar formed over the right buttock, which progressed to a large necrotic ulceration. The patient was treated successfully, with wound closure by secondary intention occurring 24 weeks after initial presentation. Treatment included sharp debridement, advanced dressings, oral antibiotics (for infection), and negative pressure wound therapy.

Conclusion: This case adds to the body of literature describing a full-thickness wound forming due to nontarget embolization. The patient was treated successfully in clinic without the need for further surgery or inpatient treatment.

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子宫动脉栓塞后臀坏死1例。

背景：子宫动脉栓塞术（UAE）是治疗子宫平滑肌瘤（肌瘤）的一种越来越普遍的方法。高达70%的白人女性和超过80%的非洲裔女性会患上良性子宫肌瘤，其中许多人会出现月经出血增多、泌尿系统症状、疼痛和不孕等症状。当医疗管理不能充分治疗症状时，UAE是一种微创手术治疗选择。非靶栓塞是该手术的罕见并发症，可导致软组织坏死。很少有病例报告描述这种现象。病例报告：一名46岁女性在阿联酋术后5个月就诊于伤口诊所。手术后，患者大腿和臀部出现灼痛。5周后，右臀部形成小痂，发展为大的坏死性溃疡。患者治疗成功，在初次就诊后24周进行了二次伤口愈合。治疗包括快速清创、高级敷料、口服抗生素（用于感染）和负压伤口治疗。结论：本病例增加了非靶栓塞引起的全层创面形成的文献。患者在临床上治疗成功，无需进一步手术或住院治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.