Abstract
Uterine artery embolization (UAE) has become a standard therapy in the treatment of symptomatic uterine myomas. The procedure is associated with a few complications. One of them is myoma expulsion. A 32-year-old woman was sent to our hospital with diagnosed intramural myoma with dysmenorrhea and pressure symptoms. UAE was performed since the patient preferred conservative treatment. The procedure was without any complications. Three weeks after embolization, she was readmitted because of vaginal discharge and minor bleeding. We diagnosed expulsion of necrotic myoma and performed transvaginal resection. Four months later, the patient is symptom free. Expulsion of intramural myoma can be thus considered as definite treatment and not a complication of embolization therapy.
References
Ravina JH, Herbreteau D, Cirau-Vigneron N, Cirau-Vigneron N, Bouret JM, Houdart E, Aymard A et al (1995) Arterial embolisation to treat uterine myomata. Lancet 346:671–672. doi:10.1016/S0140-6736(95)92282-2
Marret H, Keris YLB, Acker O, Cottier P, Herbreteau D (2004) Late leiomyoma expulsion after uterine artery embolization. J Vasc Interv Radiol 15:1483–1485
Hehenkamp WJ, Volkers NA, Montauban Van Swijndregt AD, Blok SD, Reekers JA, Ankum WM (2004) Myoma expulsion after uterine artery embolization: complication or cure? Am J Obstet Gynecol 191:1713–1715. doi:10.1016/j.ajog.2004.02.001
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Redecha, M., Holomáň, K., Javorka, V. et al. Myoma expulsion after uterine artery embolization. Arch Gynecol Obstet 280, 1023–1024 (2009). https://doi.org/10.1007/s00404-009-1048-6
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DOI: https://doi.org/10.1007/s00404-009-1048-6