Park JW, Choi HY. Ventral hernia after high-intensity focused ultrasound ablation for uterine fibroids treatment: A case report. World J Clin Cases 2022; 10(30): 11204-11209 [PMID: 36338202 DOI: 10.12998/wjcc.v10.i30.11204]
Corresponding Author of This Article
Jung-Woo Park, PhD, Associate Professor, Department of Obstetrics and Gynecology, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. mdpjw1216@gmail.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 26, 2022; 10(30): 11204-11209 Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11204
Ventral hernia after high-intensity focused ultrasound ablation for uterine fibroids treatment: A case report
Jung-Woo Park, Hwa Yeon Choi
Jung-Woo Park, Hwa Yeon Choi, Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan 49201, South Korea
Author contributions: Choi HY contributed to the data collection and the manuscript writing; Park JW treated the patient and contributed to the conceptualization and supervision of the entire work; all authors have read and approved the final manuscript.
Informed consent statement: A written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors have nothing to disclose.
CARE Checklist (2016) statement: All authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jung-Woo Park, PhD, Associate Professor, Department of Obstetrics and Gynecology, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. mdpjw1216@gmail.com
Received: August 16, 2022 Peer-review started: August 16, 2022 First decision: September 5, 2022 Revised: September 7, 2022 Accepted: September 23, 2022 Article in press: September 23, 2022 Published online: October 26, 2022 Processing time: 65 Days and 12.2 Hours
Abstract
BACKGROUND
High-intensity focused ultrasound (HIFU) ablation is a minimally invasive approach in gynecology that is used to manage uterine fibroids. Although this procedure is safe and effective, adverse outcomes are becoming a major problem.
CASE SUMMARY
We present a case of ventral hernia that occurred as a rare and delayed complication of HIFU ablation for uterine fibroids treatment. The patient came to the hospital with abdominal bloating that occurred 6 mo after ultrasound-guided HIFU ablation for managing uterine fibroids. The ventral hernia, which occurred due to atrophied muscle layers following the procedure, was confirmed by imaging studies and intraoperative findings. She required a hernia repair with mesh and hysterectomy for definitive treatment of uterine fibroid.
CONCLUSION
High-intensity ultrasound ablation should be performed only on appropriate candidates. Patients should be educated about potential complications of the procedure and the possibility of subsequent treatment. Post-procedural long-term follow-up for detecting delayed adverse effects is important.
Core Tip: We report a case of ventral hernia induced by ultrasound-guided high-intensity focused ultrasound (HIFU) ablation for the management of uterine fibroids. The case highlights the importance of long-term follow-up for delayed and rare complications after HIFU ablation.
