scholarly journals Observation of Intramural Fibroid Expulsion on MRI after Uterine Artery Embolization

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Hisakazu Matsushima ◽  
Ken Kageyama ◽  
Akira Yamamoto ◽  
Atsushi Jogo ◽  
Etsuji Sohgawa ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Uterine Fibroids ◽  
Uterine Cavity ◽  
Resonance Imaging ◽  
Artery Embolization ◽  
Noninvasive Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
Intramural Fibroids

Uterine artery embolization (UAE) is a type of noninvasive treatment for symptomatic uterine fibroids. One of the complications of UAE is fibroid expulsion. Here, we report a case of a 45-year-old woman who underwent UAE for an intramural fibroid, which resulted in fibroid expulsion. To the best of our knowledge, there are only few reports of expulsion of intramural fibroids. The process of fibroid protrusion from the myometrium into the uterine cavity was depicted on magnetic resonance imaging (MRI) in this case. We discuss the risk factors and mechanisms of fibroid expulsion after UAE.

scholarly journals Successful Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery for Recurrent Uterine Fibroid Previously Treated with Uterine Artery Embolization

2010 ◽  
Vol 2010 ◽  
pp. 1-4
Author(s):  
Sang-Wook Yoon ◽  
Kyoung Ah Kim ◽  
Sang Heum Kim ◽  
Jong Tae Lee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Focused Ultrasound ◽  
Resonance Imaging ◽  
Artery Embolization ◽  
Effective Treatment Option ◽  
Ultrasound Surgery ◽  
Focused Ultrasound Surgery

A 45-year-old premenopausal woman was referred to our clinic due to recurring symptoms of uterine fibroids, nine years after a uterine artery embolization (UAE). At the time of screening, the patient presented with bilateral impairment and narrowing of the uterine arteries, which increased the risk of arterial perforation during repeated UAE procedures. The patient was subsequently referred for magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) treatment. Following the treatment, the patient experienced a significant improvement in symptoms (symptom severity score was reduced from 47 to 12 by 1 year post-treatment). MR images at 3 months showed a 49% decrease in fibroid volume. There were no adverse events during the treatment or the follow-up period. This case suggests that MRgFUS can be an effective treatment option for patients with recurrent fibroids following previous UAE treatment.

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