BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PVA

    MDR report key: 1981190 · Received February 2, 2011

    Report

    Report Number
    MW5019276
    Event Type
    Injury
    Date Received
    February 2, 2011
    Date of Event
    April 20, 2007
    Report Date
    February 2, 2011
    Product Code
    NAJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    MENSTRUATION CEASED POST UAE. THREE YEARS POST UAE FOLLOWING POLYPECTOMY AT CERVICAL OS AND ENDOMETRIAL BIOPSY. FORTY-EIGHT HOURS LATER, DEVELOPED GREEN VAGINAL DISCHARGE AND HIGH FEVER. UNRESPONSIVE TO TREATMENT. SYMPTOMS INCREASED IN SEVERITY INCLUDING SHOOTING ABDOMINAL PAIN, MODERATE TO SEVERE PAIN VOIDING, PAINFUL TO TOUCH AND ONE EPISODE OF VAGINAL BLEEDING. SUBSEQUENTLY DX WITH PELVIC INFLAMMATORY DISEASE. SCANNING REVEALED FIBROID GREW SLIGHTLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PVA UTERINE ARTERY EMBOLIZATION NAJ

    Patients

    Seq Age Sex Outcome Treatment
    1 Other| R