Uterine artery embolization as a treatment for symptomatic uterine fibroids: A review of literature and case report

2006 ◽  
Vol 18 (8) ◽  
pp. 361-367 ◽  
Author(s):  
Judy Gainey Seals ◽  
Paul A. Jones ◽  
Cheryl Wolfe
2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Helena Isabel Lopes ◽  
Maria Isabel Sá ◽  
Rosa Maria Rodrigues

Background. Several pregnancies have been reported after embolization of uterine artery. This procedure is an accepted nonsurgical treatment for symptomatic uterine fibroids but its safety in women desiring future childbearing is not well established.Case Report. We present a 40-year-old woman with leiomyomata who became pregnant after previously undergone uterine artery embolization for three times. The placenta was previa and the fetus was in transverse position. She had a cesarean delivery of an appropriately grown fetus at 37 weeks, which was followed by uterine atony requiring hysterectomy.Conclusion. Although pregnancy-related outcomes remain understudied, the available reports evidence that pregnancies after uterine artery embolization may be at significantly increased risk for postpartum hemorrhage, cesarean delivery, abnormal placentation, and malpresentation. In patients who are undergoing this type of treatment and contemplating pregnancy, the possibility of adverse complications should be taken in consideration and women should be appropriately advised.


2009 ◽  
Vol 92 (2) ◽  
pp. 756-761 ◽  
Author(s):  
Marianne J. Voogt ◽  
Jolanda De Vries ◽  
Willem Fonteijn ◽  
Paul N.M. Lohle ◽  
Peter F. Boekkooi

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jeffrey L. Roberson ◽  
Lauren N. Krumeich ◽  
Nabil F. Darwich ◽  
Victor Babatunde ◽  
Dorottya Laczko ◽  
...  

Abstract Background Uterine artery embolization in the treatment of uterine leiomyoma has been rarely associated with dislodgement and expulsion of infarcted uterine fibroids through the vagina, peritoneum, or bowel wall, predominantly occurring within 6 months of uterine artery embolization. Case presentation We present the case of a 54-year-old African American woman who underwent uterine artery embolization 11 years prior and developed mechanical small bowel obstruction from the migration of fibroid through a uteroenteric fistula with ultimate impaction within the distal small bowel lumen. Small bowel resection and hysterectomy were curative. Conclusions Uteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness.


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