Migration and Erosion of Coils from Previous Pelvic Embolization

Abstract

This is the case of a 50-year-old, gravida 3 para 3-0-0-3, perimenopausal woman who presented for evaluation of abnormal uterine bleeding and was found to have uterine leiomyomas. Her medical history was notable for an unclear, self-reported diagnosis of pelvic congestion syndrome requiring pelvic embolization. The patient opted for definitive surgical management, and she underwent an uncomplicated total laparoscopic hysterectomy and bilateral salpingectomy. The intraoperative findings were notable for migration and erosion of her previously placed embolic coils along the left external iliac vessels (Figs.