Rectouterine fistula after laparoscopic USG-guided RFA of a
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Introduction
Recently, many studies reported that radiofrequency ablation (RFA) is considered to be a safe, effective and minimal invasive approach with low complication rates and minimal patient discomfort in the conservative management of uterine fibroids in selected woman who desire to retain their uterus.

However, few studies were conducted regarding the adverse outcomes and the most reported complications are minor events such as pain, discharge and adhesion without need for further intervention. Penetration and burn injuries of the bowel or bladder have never been reported related with RFA of uterine fibroids. Although it is safe and effective, several reports showed that RFA can give rise to severe complications in other organs such as bronchopleural, bronchobiliary or renoduodenal fistula. An enterouterine fistula occurs extremely rare, some cases have been reported referring to Crohn's disease or diverticulitis where it was difficult to save the uterus and fertility....


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245354/
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