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Prolapsed cervical myoma after uterine artery embolization. A case report
1Section of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
The Journal of Reproductive Medicine
|June 9, 2001
Summary
Cervical myomas are a relative contraindication for uterine artery embolization (UAE). Prolapsed cervical myomas after UAE can necessitate hysterectomy, highlighting a rare but serious complication.
Area of Science:
- Gynecology
- Interventional Radiology
- Urogynecology
Background:
- Uterine artery embolization (UAE) is a common treatment for symptomatic uterine fibroids (myomas).
- Cervical myomas, fibroids located in the cervix, present unique management challenges.
- Complications of UAE, though rare, require careful consideration.
Observation:
- A case of cervical myoma prolapse occurred two weeks after UAE in a 40-year-old woman.
- The patient had a history of three previous abdominal myomectomies.
- Severe menorrhagia due to myomas was the indication for UAE.
Findings:
- Cervical myoma prolapse is an infrequent but significant complication following UAE.
- This complication can lead to severe symptoms and necessitate further surgical intervention.
Implications:
- Cervical myomas should be considered a relative contraindication for UAE.
- This finding may influence treatment decisions for patients with cervical fibroids.
- Further research into the risk factors and management of cervical myoma prolapse after UAE is warranted.