Skip to main content

Advertisement

Log in

Incidentally Discovered Uterine Sarcoma in a Premenopausal Patient after Hysterectomy for Postembolization Endometritis

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Uterine leiomyomas (fibroids) are the most common benign tumor of the female reproductive system. Fibroids can become symptomatic with symptoms such as menorrhagia and menometrorrhagia, pelvic pain, and reproductive dysfunction. Hysterectomy, myomectomy, and the less invasive uterine artery embolization are now commonly performed if conservative management of symptomatic fibroids fails. Moreover, uterine artery embolization (UAE) is the preferred minimally invasive procedure for the treatment of symptomatic fibroids. Major complications of UAE are extremely rare but well known. Additionally, there is a risk of undiagnosed uterine sarcoma found post embolization, which has been reported in literature during the past 12 years. Herein, we describe a case of an incidentally discovered uterine sarcoma in a premenopausal female after hysterectomy for post uterine artery embolization endometritis and sepsis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Gupta JK, Lumsden MA, Hickey M (2012) Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database Syst Rev 16(5)

  2. Kitamura Y, Cooper C, Allison SJ, Jha RC, Flick PA, Spies JB (2005) Imaging manifestations of complications associated with uterine artery embolization. Radiographics 25(Suppl 1):S119–S132

    Article  PubMed  Google Scholar 

  3. Deshmukh SP, Guglielmo FF, Mitchell DG (2012) Role of MR imaging of uterine leiomyomas before and after embolization. Radiographics 32(6):E251–E281

    Article  PubMed  Google Scholar 

  4. Al-Badr A (2001) Uterine artery embolization in an undiagnosed uterine sarcoma. Obstet Gynecol 97:836–837

    Article  CAS  PubMed  Google Scholar 

  5. Common AA, Kolin A, Pron G, Soucie J (2001) Therapeutic failure of uterine fibroid embolization caused by underlying leiomyosarcoma. J Vasc Interv Radiol 12:1449–1452

    Article  CAS  PubMed  Google Scholar 

  6. D’Angelo A, Wood A (2003) Uterine leiomyosarcoma discovered after uterine artery embolisation. J Obstet Gynaecol 23:686–687

    Article  PubMed  Google Scholar 

  7. Goldberg J, Price FV, Worthington-Kirsch R (2004) Leiomyosarcoma in a premenopausal patient after uterine artery embolization. Am J Obstet Gynecol 191:1733–1735

    Article  PubMed  Google Scholar 

  8. Papadia A, Fulcheri E, Ragni N (2007) Uterine sarcoma occurring in a premenopausal patient after uterine artery embolization: a case report and review of the literature. Gynecol Oncol 104(1):260–263

    Article  PubMed  Google Scholar 

  9. Worthington-Kirsch R, Myers ER, Mulgund J, Mauro M, Pron G, Peterson ED, Goodwin S (2005) FIBROID Investigators The Fibroid Registry for outcomes data (FIBROID) for uterine embolization: short-term outcomes. Obstet Gynecol 106(1):52–59

    Article  PubMed  Google Scholar 

  10. Shah SH, Krajewski K, O’Regan KN, George S, Ramaiya NH (2012) Uterine sarcomas: then and now. AJR Am J Roentgenol 199(1):213–223

    Article  PubMed  Google Scholar 

  11. Leibsohn S, Mishell DR Jr, Schlaerth JB (1990) Leiomyosarcoma in a series of hysterectomies performed for presumed uterine leiomyomas. Am J Obstet Gynecol 162(4):968–974

    Article  CAS  PubMed  Google Scholar 

  12. Parker WH, Berek JS (1994) Uterine sarcoma in patients operated on for presumed leiomyoma and rapidly growing leiomyoma. Obstet Gynecol 83(3):414–418

    CAS  PubMed  Google Scholar 

Download references

Conflict of interest

Edwin Chu, Ernesto Santos, Kevin McCluskey have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edwin C. Chu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chu, E.C., Santos, E. & McCluskey, K. Incidentally Discovered Uterine Sarcoma in a Premenopausal Patient after Hysterectomy for Postembolization Endometritis. Cardiovasc Intervent Radiol 37, 839–842 (2014). https://doi.org/10.1007/s00270-013-0805-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-013-0805-x

Keywords

Navigation