Labial Necrosis After Uterine Artery Embolization for Leiomyomata

Abstract

In Brief 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. Nontarget labial embolization involving severe vulvar pain and necrotic-appearing skin changes after uterine artery embolization was successfully managed using conservative therapy.