Iliac Artery Lesion as a Severe Complication of Hysteroscopic Myomectomy

Daniela Angerame Yela, MD, PhD, Patrícia Kajikawa, MD, Cassia Raquel Juliato, MD, PhD, Cristina Laguma Benetti-Pinto, MD, PhD

Department of Gynecology and Obstetrics, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil (all authors).

ABSTRACT

Hysteroscopic myomectomy is the surgical procedure of choice for the treatment of submucous or intramural myomas that protrude into the uterine cavity in patients with abnormal bleeding and/or infertility. It is a minimally invasive procedure associated with a low complication rate. Complications of hysteroscopy include uterine perforation, intraoperative and postoperative uterine bleeding, water intoxication, gas embolism, and injuries of the bladder, ureters, and major blood vessels, in addition to late complications, such as infections and synechiae. This case report describes iliac artery injury during hysteroscopic myomectomy. A review of the literature shows that this complication has not been recorded.

Key Words: Hysteroscopy, Myomectomy, Complications, Iliac artery injury

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