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Spontaneous expulsion of three large fibroids after uterine artery embolization
Francoises Laverge1, Arianna D'Angelo, Nigel J Davies
1University Hospital of Wales, College of Medicine, Cardiff, United Kingdom.
Objective:
To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. Case report.
Setting:
The Department of Obstetrics and Gynaecology of a university hospital.
Patient(S):
A 45-year-old woman who underwent uterine artery embolization for fibroids.
Intervention(S):
Transfemoral selective bilateral uterine artery catheterization and injection of 500-700 microm polyvinyl alcohol particles.
Result(S):
Recovery of the patient. The spontaneous expulsion of three fibroids on three different occasions over several months resulted in a significant reduction in menstrual loss and dysmenorrhea.
Conclusion(S):
Delivering fibroids or sections of fibroids may be a natural process after uterine artery embolization, therefore it is essential to warn women about the possible risk. Close follow-up is also essential. The size of the fibroids discharged did not require hysterectomy. Adequate antibiotic cover may be necessary to prevent sepsis.
