Late Leiomyoma Expulsion after Uterine Artery Embolization
Autor: | Henri Marret, Jean-Philippe Cottier, Olivier Acker, Denis Herbreteau, Yann Le Brun Keris |
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Rok vydání: | 2004 |
Předmět: |
Vaginal discharge
medicine.medical_specialty medicine.medical_treatment Uterine artery embolization medicine Humans Radiology Nuclear Medicine and imaging Embolization Cervix Hysterectomy Leiomyoma business.industry Uterus Myoma Middle Aged medicine.disease Embolization Therapeutic female genital diseases and pregnancy complications Surgery medicine.anatomical_structure Uterine Neoplasms Vagina Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Magnetic Resonance Angiography |
Zdroj: | Journal of Vascular and Interventional Radiology. 15:1483-1485 |
ISSN: | 1051-0443 |
DOI: | 10.1097/01.rvi.0000141445.13873.7d |
Popis: | A case of late expulsion of a leiomyoma after uterine artery embolization (UAE) is reported in a 49-year-old woman who underwent UAE for a huge (13 cm x 12 cm; 1,061 cm(3)) bleeding- and bulk-related intramural leiomyoma diagnosed with ultrasonography. Free-flow embolization was performed with 150-400-microm polyvinyl alcohol particles and absorbable particle sponge. Symptoms and myoma size were successfully controlled until 44 months, at which time the patient reported vaginal discharge. A 7-cm necrotic, partly submucosal leiomyoma was detected. The patient refused hysterectomy and spontaneously expelled the leiomyoma through the cervix 6 months later. In conclusion, UAE necessitates long-term follow-up and women should be warned of late complications. |
Databáze: | OpenAIRE |
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