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Late leiomyoma expulsion after uterine artery embolization
Henri Marret1, Yann Le Brun Keris, Olivier Acker
1Department of Gynecology, Obstetrics, Fetal Medicine and Human Reproduction, Hôpital Bretonneau, Centre Hospitalo-Universitaire de Tours, 2 Boulevard Tonnellé, 37044 Tours cedex 1, France. marret@med.univ-tours.fr
Journal of Vascular and Interventional Radiology : JVIR
|December 14, 2004
Summary
Uterine artery embolization (UAE) can lead to rare late leiomyoma expulsion. Long-term follow-up is crucial for women undergoing UAE to monitor for such complications.
Area of Science:
- Gynecology
- Interventional Radiology
Background:
- Uterine leiomyomas are common, often causing significant bleeding and bulk symptoms.
- Uterine artery embolization (UAE) is an effective treatment for symptomatic leiomyomas.
Observation:
- A 49-year-old woman with a large intramural leiomyoma underwent UAE.
- Initial treatment successfully controlled symptoms and myoma size for 44 months.
Findings:
- A 7-cm necrotic, partly submucosal leiomyoma was detected after 44 months.
- The patient spontaneously expelled the leiomyoma vaginally 6 months later, refusing hysterectomy.
Implications:
- This case highlights the possibility of late leiomyoma expulsion after UAE.
- Long-term patient follow-up is essential to detect and manage delayed complications.
- Women should be informed about the potential for late complications following UAE.