{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:31Z","timestamp":1787071471636,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Uterine fibroids are benign tumors that originate from the smooth muscle of the uterus. They are often associated with menorrhagia, pelvic pain, infertility, and a sensation of pressure. The symptoms depend on the location of the fibroids, with submucosal fibroids more commonly causing menorrhagia due to their proximity to the endometrium. Meanwhile, intramural and subserosal fibroids typically do not cause excessive bleeding unless they disrupt the endometrial lining. Uterine Fibroid embolization (UFE) is a minimally invasive treatment for fibroids that works by occluding the arteries supplying the fibroids, leading to ischemic necrosis and fibroid shrinkage. This case report describes a 40-year-old female who presented with heavy menstrual bleeding, pelvic pain, and increased urinary frequency due to an endometrial uterine fibroid - for which she underwent a UFE. Follow-up at 3.5 months post-UFE revealed reduced uterine size and menstrual symptom improvement. At one year post-procedure, the patient developed increased pelvic pressure and heavier bleeding compared to her post-UFE baseline. MRI obtained 9 months later displayed a reduction in the size of the fundal fibroid. A new finding of a fistula between this fundal fibroid and the endometrial canal was also observed and confirmed with an in-office hysteroscopy. Conservative management, including iron supplementation, pain control, and serial ultrasound monitoring, resulted in symptom resolution within two weeks.<\/jats:p>","DOI":"10.4103\/gmit.gmit-d-24-00061","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:00:25Z","timestamp":1762498825000},"page":"351-354","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Endometrial Fibroid Fistula Formation after Uterine Fibroid Embolization: A Case Report"],"prefix":"10.4103","volume":"14","author":[{"given":"Mehak","family":"Gadh","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, Pine Crest High School, Fort Lauderdale, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Issa","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Miami Miller School of Medicine, Miami, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ansh","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Miami Health System, Miami, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Stauber","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Miami Miller School of Medicine, Miami, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnav","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, American Heritage School, Plantation, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivank","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Miami Health System, Miami, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"R1-20251107","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1089\/jwh.2018.7076","article-title":"Burden, prevalence, and treatment of uterine fibroids: A survey of U. S. Women","volume":"27","author":"Marsh","year":"2018","journal-title":"J Womens Health (Larchmt)"},{"key":"R2-20251107","doi-asserted-by":"crossref","first-page":"1045783","DOI":"10.3389\/fphar.2022.1045783","article-title":"Uterine fibroids \u2013Causes, impact, treatment, and lens to the African perspective","volume":"13","author":"Sefah","year":"2022","journal-title":"Front Pharmacol"},{"key":"R3-20251107","doi-asserted-by":"crossref","first-page":"600800","DOI":"10.3389\/fonc.2021.600800","article-title":"Comparative effectiveness and safety of high-intensity focused ultrasound for uterine fibroids: A systematic review and meta-analysis","volume":"11","author":"Wang","year":"2021","journal-title":"Front Oncol"},{"key":"R4-20251107","doi-asserted-by":"crossref","first-page":"528","DOI":"10.21873\/invivo.12734","article-title":"Vesico-uterine fistula following C-section \u2013A case report and literature review","volume":"36","author":"Caraman","year":"2022","journal-title":"In Vivo"},{"key":"R6-20251107","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1053\/j.tvir.2006.08.002","article-title":"Uterine fibroid embolization","volume":"9","author":"White","year":"2006","journal-title":"Tech Vasc Interv Radiol"},{"key":"R7-20251107","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1055\/s-2006-941444","article-title":"Complications of uterine fibroid embolization","volume":"23","author":"Schirf","year":"2006","journal-title":"Semin Intervent Radiol"},{"key":"R8-20251107","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1007\/s00270-009-9793-2","article-title":"Uterine artery embolization in patients with a large fibroid burden: Long-term clinical and MR follow-up","volume":"33","author":"Smeets","year":"2010","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R9-20251107","doi-asserted-by":"crossref","first-page":"Suppl 1","DOI":"10.1016\/j.ijgo.2007.06.021","article-title":"Obstetric fistulas: A clinical review","volume":"99","author":"Creanga","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"key":"R10-20251107","doi-asserted-by":"crossref","first-page":"2916","DOI":"10.1016\/j.radcr.2021.06.088","article-title":"Endometrial cavity-myoma fistula after uterine artery embolization diagnosed by pelvic MRI: Case report","volume":"16","author":"Hajati","year":"2021","journal-title":"Radiol Case Rep"},{"key":"R11-20251107","doi-asserted-by":"crossref","first-page":"P242","DOI":"10.1016\/S1051-0443(02)70157-7","article-title":"UFE: Post-procedure management\/complications","volume":"13","author":"Lipman","year":"2002","journal-title":"J Vasc Interv Radiol"},{"key":"R12-20251107","doi-asserted-by":"crossref","first-page":"e00282","DOI":"10.1016\/j.crwh.2020.e00282","article-title":"Spontaneous utero-cutaneous fistula between a benign uterine leiomyoma and abdominal skin: A case report","volume":"29","author":"Anderson","year":"2021","journal-title":"Case Rep Womens Health"},{"key":"R13-20251107","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.radcr.2019.03.011","article-title":"Impending fibroid expulsion on MRI after uterine fibroid embolization","volume":"14","author":"Sanampudi","year":"2019","journal-title":"Radiol Case Rep"},{"key":"R14-20251107","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/j.jmig.2017.12.001","article-title":"Definitive management of persistent vaginal discharge caused by leiomyoma-endometrial fistulas after uterine artery embolization","volume":"25","author":"Pereira","year":"2018","journal-title":"J Minim Invasive Gynecol"},{"key":"R15-20251107","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1097\/00054725-199811000-00008","article-title":"Inflammatory bowel disease workshop. Vail, Colorado, March 22 and 23, 1998 Management of fistula disease","volume":"4","author":"Present","year":"1998","journal-title":"Inflamm Bowel Dis"},{"key":"R16-20251107","doi-asserted-by":"crossref","first-page":"20190551","DOI":"10.1259\/bjr.20190551","article-title":"Pregnancy success and outcomes after uterine fibroid embolization: Updated review of published literature","volume":"93","author":"Ludwig","year":"2020","journal-title":"Br J Radiol"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.GMIT-D-24-00061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:36Z","timestamp":1787067996000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.GMIT-D-24-00061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit-d-24-00061","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2024-11-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}