First Reported Death in India during MRgFUS: A Case Report
DOI:
https://doi.org/10.48165/Keywords:
MRgFUS, Fibroids, Uterine Leiomyoma, MR-Guided,, Magnetic Resonance Imaging, AblationAbstract
Uterine adenomyosis is an important problem for women of reproductive age. Although hysterectomy has been the traditional treatment for symptomatic fibroids, many child bearing women are interested in a less invasive therapy. Magnetic resonance-guided focused ultrasound (MRgFUS) is a new technique for treating a variety of solid tumors. The procedure is completely noninvasive. It is performed as an outpatient procedure and the patient can resume her normal activities the day following the procedure. A 39 years female came with c/o dysmenorrheal, menorrhagia and polymenorrhagia since 5 years. Patient’s vitals were normal before procedure but patient suddenly collapsed and died after procedure. Dead body was forwarded for postmortem examination. During postmortem it was found that there was 3 liter of blood in peritoneum. As this is the safest outpatient procedure then what was the reason for this 3 liter of blood in abdominal cavity…?
Downloads
References
Sharp HT. Assessment of new technology in the treatment of idiopathic menorrhagia and uterine leiomyomata. Obs. Gynecol. 2006;108: 990–1003
Stewart EA, Gostout B, Rabinovici J, et al. Sustained relief of leiomyoma symptoms by using focused ultrasound surgery. Obs. & Gynecol. 2007;110: 279-287
Morita Y, Ito N, Hikida H, Takeuchi S, Nakamura K, Ohashi H. Non-Invasive Magnetic Resonance Imaging Guided Focused Ultrasound Treatment for Uterine Fibroids – Early Experience, Eur. J ObstetGynecolReprod. Biol., 2008, 139(2):199-203
Gorny KR, Woodrum DA et al. Magnetic resonance–guided focused ultrasound of uterine leiomyomas: review of a 12-month outcome of 130 clinical patients. J VascIntervRadiol 2011
Magnetic resonance image-guided transcutaneous focused ultrasound for uterine fibroids, NICE Interventional Procedure Guideline (November 2011)
SeminInterventRadiol. 2008 December; 25(4): 394–405. 7. TerHaar G. High intensity ultrasound. SeminLaparoscSurg 2001; 8:77-89
Stewart EA, Rabinovici J, Tempany CM, Inbar Y, Regan L, Gostout B, Hesley G, Kim HS, Hengst S, Gedrovc WM. Clinical outcomes of focused ultrasound surgery for the treatment of uterine fibroids. FertilSteril, 85(1): 22-9, Jan 2006.
Taran FA, Tempany CM, Regan L, Inbar Y, Revel A, Stewart EA. Magnetic resonance-guided focused ultrasound (MRgFUS) compared with abdominal hysterectomy for treatment of uterine leiomyomas, MRgFUS Group, Ultrasound Obstet Gynecol 2009 Nov; 34(5):572-8. DOI: 10.1002/uog.7435.