{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:58:16Z","timestamp":1781240296877,"version":"3.54.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Uterine artery embolization (UAE) is a minimally invasive, uterus-preserving treatment for symptomatic uterine fibroids with a low infection rate, and post-procedural infections are typically confined to the pelvis. Extra-pelvic deep infections are exceptionally rare. We describe an unusual delayed presentation of lumbosacral spondylodiscitis following an otherwise uncomplicated UAE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 30-year-old woman with symptomatic uterine fibroids underwent bilateral UAE. Embolization was performed with 700\u2013900\u00a0\u03bcm microspheres to angiographic stasis, with adjunct superior hypogastric nerve block (SHNB) for analgesia via an anterior suprapubic approach. Recovery was initially uneventful; however, new low back pain developed approximately 1\u00a0week post-procedure. At day 20, inflammatory markers were mildly elevated with a normal white blood cell count, and lumbar magnetic resonance imaging (MRI) demonstrated no abnormality. Despite conservative management, pain progressively worsened with functional limitation. Repeat MRI at 7\u00a0weeks revealed L5\u2013S1 spondylodiscitis. After antibiotic therapy, follow-up MRI at 11\u00a0weeks demonstrated progression with abscess formation, prompting referral to neurosurgery for further management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Persistent or progressive back pain after UAE, particularly when inflammatory markers rise, warrants reassessment and consideration of spondylodiscitis. Early MRI may be normal; repeat MRI is appropriate when symptoms persist or worsen. This case highlights spondylodiscitis as a rare but serious complication in the procedural setting, with SHNB representing a possible contributory mechanism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s42155-026-00719-2","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:24:50Z","timestamp":1781238290000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lumbosacral spondylodiscitis following superior hypogastric nerve block performed during uterine artery embolization: a case report"],"prefix":"10.1186","volume":"9","author":[{"given":"Hamidreza","family":"Rouientan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Seyedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9993-3801","authenticated-orcid":false,"given":"Shahram","family":"Akhlaghpoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"issue":"3","key":"719_CR1","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1007\/s00270-011-0228-5","volume":"35","author":"IT Manyonda","year":"2012","unstructured":"Manyonda IT, Bratby M, Horst JS, Banu N, Gorti M, Belli AM. Uterine artery embolization versus myomectomy: impact on quality of life\u2013results of the FUME (Fibroids of the Uterus: Myomectomy versus Embolization) Trial. Cardiovasc Intervent Radiol. 2012;35(3):530\u20136.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"719_CR2","doi-asserted-by":"publisher","first-page":"19252","DOI":"10.1038\/s41598-024-69754-0","volume":"14","author":"J Peng","year":"2024","unstructured":"Peng J, Wang J, Shu Q, Luo Y, Wang S, Liu Z. Systematic review and meta-analysis of current evidence in uterine artery embolization vs myomectomy for symptomatic uterine fibroids. Sci Rep. 2024;14(1):19252.","journal-title":"Sci Rep"},{"issue":"9","key":"719_CR3","doi-asserted-by":"publisher","first-page":"4125","DOI":"10.21037\/qims-20-1331","volume":"11","author":"H Gao","year":"2021","unstructured":"Gao H, Li T, Fu D, Wei J. Uterine artery embolization, surgery and high intensity focused ultrasound in the treatment of uterine fibroids: a network meta-analysis. Quant Imaging Med Surg. 2021;11(9):4125\u201336.","journal-title":"Quant Imaging Med Surg"},{"issue":"3","key":"719_CR4","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1097\/01.RVI.0000203419.61593.84","volume":"17","author":"N Volkers","year":"2006","unstructured":"Volkers N, Hehenkamp W, Birnie E, De Vries C, Holt C, Ankum W, et al. Uterine artery embolization in the treatment of symptomatic uterine fibroid tumors (EMMY trial): periprocedural results and complications. Journal of vascular and interventional radiology\u202f: JVIR. 2006;17(3):471\u201380.","journal-title":"Journal of vascular and interventional radiology : JVIR"},{"issue":"7","key":"719_CR5","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1007\/s00270-022-03158-3","volume":"45","author":"M Lukies","year":"2022","unstructured":"Lukies M, Clements W. Current Strategies for Prevention of Infection After Uterine Artery Embolisation. Cardiovasc Intervent Radiol. 2022;45(7):911\u20137.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"719_CR6","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1148\/rg.2019180014","volume":"39","author":"DB Green","year":"2019","unstructured":"Green DB, Kawashima A, Menias CO, Tanaka T, Redelman-Sidi G, Bhalla S, et al. Complications of Intravesical BCG Immunotherapy for Bladder Cancer. Radiographics. 2019;39(1):80\u201394.","journal-title":"Radiographics"},{"key":"719_CR7","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.1227\/NEU.0b013e3182274865","volume":"69","author":"N Nathoo","year":"2011","unstructured":"Nathoo N, Caris E, Wiener J, Mendel E. History of the Vertebral Venous Plexus and the Significant Contributions of Breschet and Batson. Neurosurgery. 2011;69:1007.","journal-title":"Neurosurgery"},{"issue":"11","key":"719_CR8","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1016\/j.jvir.2018.06.007","volume":"29","author":"MA Chehab","year":"2018","unstructured":"Chehab MA, Thakor AS, Tulin-Silver S, Connolly BL, Cahill AM, Ward TJ, et al. Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 2018;29(11):1483-501.e2.","journal-title":"J Vasc Interv Radiol"},{"issue":"1","key":"719_CR9","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1148\/radiol.2018172714","volume":"289","author":"J Yoon","year":"2018","unstructured":"Yoon J, Valenti D, Muchantef K, Cabrera T, Toonsi F, Torres C, et al. Superior Hypogastric Nerve Block as Post-Uterine Artery Embolization Analgesia: A Randomized and Double-Blind Clinical Trial. Radiology. 2018;289(1):248\u201354.","journal-title":"Radiology"},{"issue":"6","key":"719_CR10","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1016\/j.jvir.2020.02.026","volume":"31","author":"JK Stewart","year":"2020","unstructured":"Stewart JK, Patetta MA, Burke CT. Superior hypogastric nerve block for pain control after uterine artery embolization: effect of addition of steroids on analgesia. J Vasc Interv Radiol. 2020;31(6):1005-9. e1.","journal-title":"J Vasc Interv Radiol"},{"issue":"12","key":"719_CR11","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1097\/01.RVI.0000137406.09852.A4","volume":"15","author":"P Rasuli","year":"2004","unstructured":"Rasuli P, Jolly EE, Hammond I, French GJ, Preston R, Goulet S, et al. Superior Hypogastric Nerve Block for Pain Control in Outpatient Uterine Artery Embolization. J Vasc Interv Radiol. 2004;15(12):1423\u20139.","journal-title":"J Vasc Interv Radiol"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-026-00719-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-026-00719-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-026-00719-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:24:57Z","timestamp":1781238297000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s42155-026-00719-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["719"],"URL":"https:\/\/doi.org\/10.1186\/s42155-026-00719-2","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,12]]},"assertion":[{"value":"29 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"69"}}