[Uterine artery embolization as palliative treatment in cervical cancer]. / Embolización de las arterias uterinas como tratamiento paliativo del cáncer de cérvix.

OBJECTIVE: To describe intractable bleeding in cases of end-stage cervical cancer that required uterine artery embolization (UAE) as a palliative treatment, evaluating the effectiveness of the technique and its success rate. MATERIAL AND METHODS: Retrospective study performed from January 2001 to May 2014, that included patients diagnosed with cervical carcinoma stage IV bleeding, who required uterine artery embolization as palliative treatment in the General Hospital of Albacete. RESULTS: Six patients had symptoms of moderate to severe bleeding and anemia. After the UAE, it was possible to offer a proper management of bleeding and successful stabilization of the patients, improving their quality of life. The success of the technique was complete (100%). CONCLUSION: Uterine artery embolization can be an effective technique in women with advanced cancers, which are not amenable to other treatments.

[Non-surgical management of rectovaginal fistula: a case report]. / Tratamiento no quirúrgico de la fístula rectovaginal. A propósito de un caso.

BACKGROUND: The rectovaginal fistula is a rare disease whose treatment is extremely difficult. OBJECTIVE: To present the expectant management of rectovaginal fistula as an alternative to surgery for those cases in which the surgical risk is not an acceptable option. CLINICAL CASE: We report the case of a rectovaginal fistula in an 85-year-old woman with significant comorbidity that avoided the performance of any surgical technique. CONCLUSION: In patients whose surgical risk does not exceed the benefits, non-surgical management would be an option of treatment of rectovaginal fistula.