scholarly journals Pain after uterine artery embolization with intrauterine device in situ

2020 ◽  
Vol 6 (3) ◽  
pp. 20190128
Author(s):  
Katherine Jane Chua ◽  
Bruce McLucas
Keyword(s):  
Abdominal Pain ◽  
Pain Relief ◽  
Minimally Invasive ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Intrauterine Device ◽  
Lower Abdominal Pain ◽  
Artery Embolization ◽  
Post Procedure

Uterine artery embolization (UAE) is a minimally invasive option for females with symptomatic leiomyomas. Studies detailing a possible risk with an intrauterine device (IUD) in situ during UAE are limited. A 43-year-old female (Gravida 2, Para 2) underwent UAE with an IUD in situ. On post-procedure day 2, the patient presented with severe lower abdominal pain and mild leukocytosis. Following removal of her IUD, the patient experienced immediate pain relief. Caution is given to clinicians who wish to perform UAE with an IUD in situ.

scholarly journals Uterine Necrosis after Uterine Artery Embolization for Symptomatic Fibroids

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Steve Kyende Mutiso ◽  
Felix Mwembi Oindi ◽  
Nigel Hacking ◽  
Timona Obura
Keyword(s):  
Abdominal Pain ◽  
Surgical Management ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
The Body ◽  
Poly Vinyl Alcohol ◽  
Artery Embolization ◽  
Body Of Knowledge ◽  
Clinical Dilemma ◽  
Postembolization Syndrome

Introduction. Uterine artery embolization (UAE) is a minimally invasive intervention that is used in the treatment of fibroids. UAE can lead to complications including postembolization syndrome, postprocedure pain, infection, endometrial atrophy leading to secondary amenorrhea, and uterine necrosis. Uterine necrosis after UAE is very rare and hence poses a clinical dilemma for any clinician in its identification and management. We document a case of uterine necrosis after UAE and conduct a literature review on its causation, clinical features, and management principles. Case. A patient presented one month after UAE with abdominal pain and abdominal vaginal discharge. Her work-up revealed features of possible uterine necrosis with sepsis and she was scheduled for a laparotomy and a subtotal hysterectomy was performed. She was subsequently managed with broad spectrum antibiotic and recovered well. Conclusion. Uterine necrosis after UAE is a rare occurrence and we hope the documentation of this case will add to the body of knowledge around it. Theories that explain its occurrence include the use of small particles at embolization, the use of Contour-SE a spherical poly-vinyl alcohol, and lack of collateral supply to the uterus. Its symptoms may be nonspecific but unremitting abdominal pain is invariably present. Finally although conservative management may be successful at times, surgical management with hysterectomy will be required in some cases. The prognosis is good after diagnosis and surgical management.

scholarly journals Management of single submucosal fibroid in unmarried females with uterine artery embolization

2020 ◽  
Vol 9 (2) ◽  
pp. 774
Author(s):  
Sunil Kumar Juneja ◽  
Gagandeep Kaur ◽  
Muskan Chaudhary
Keyword(s):  
Minimally Invasive ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Symptomatic Relief ◽  
Invasive Procedure ◽  
Benign Neoplasm ◽  
Menstrual Bleeding ◽  
Invasive Technique ◽  
Artery Embolization ◽  
Gnrh Analogues

Background: Uterine fibroids (leiomyomas) are the most common benign neoplasm of the female pelvis. The location of fibroids, whether submucosal, subserosal, pedunculated subserosal, intramural, or endocavitary, is important because signs and symptoms may be determined by location. Uterine artery embolization (UAE) for many patients is an effective alternative treatment to surgical therapy for fibroid tumors. It is a minimally invasive procedure, which allows for rapid recovery and return to normal activities. Objective of this study was to know the efficacy of minimally invasive technique UAE for reducing symptoms in sub-mucous uterine leiomyoma in unmarried females.Methods: This retrospective analysis was performed on 9 unmarried females with symptomatic single submucosal fibroid diagnosed on MRI with size range of 3.5 cms to 6.5 cms. They presented at Dayanand Medical College and Hospital, Ludhiana, Punjab in a period of 3 years from January 2016-December 2019. Inclusion criteria were unmarried females, single submucosal fibroid diagnosed on USG/MRI. Exclusion criteria was active infection, more than one fibroid in uterus, prior GnRH analogues treatment during the previous 3 months.Results: All patients presented with heavy menstrual bleeding (HMB) and dysmenorrhea, lower abdomen pain was encountered in 3 patients and 2 patients had inter-menstrual bleeding. Recurrent, UTI was there in 1 patient and 1 patient had vaginal discharge. All fibroids belonged to stage 1 FIGO classification. UAE was done and patients were followed for 6 months. Symptomatic success was seen in 100% patients and 77.77% patients expelled the fibroid per vaginally.Conclusions: UAE is alternative method of treatment for submucosal fibroids in unmarried females who do not want to undergo surgery. Proper case selection can give us good results and symptomatic relief.

Uterine Artery Embolization is Advanced, Minimally Invasive Treatment for Fibroids with Intervention Procedure: A Case Report

2014 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Chandrashekhar M. Gattani ◽  
Tejas P. Sadavarte ◽  
Shripad S. Kamble
Keyword(s):  
Minimally Invasive ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Posterior Wall ◽  
Contrast Study ◽  
Lower Abdomen ◽  
Artery Embolization ◽  
Invasive Treatment ◽  
Intervention Procedure

<p>Uterine Artery Embolization (UAE) has become most effective and minimally invasive alternative treatment over the past many years, especially for women with symptomatic fibroids for whom conservation of uterus is important. Here we are reporting a case of an eighteen year old, unmarried female who presented with pain in lower abdomen and pelvis, menorrhagia and she also noticed gradually increasing lump in pelvis and lower abdomen.</p><p>After clinical examination, patient was referred for radiological investigations, initially ultrasonography was performed which revealed, a large sized posterior wall uterine fibroid measuring approx. 19 x 10 x 18 cm and it was further confirmed on MRI with contrast study. UAE was carried out in order to relieve the symptoms, reduce the size of fibroid and at the same time preserve the uterus. The procedure was uneventful after follow-up for 3 months, there was partial regression in the size of fibroid.</p>

scholarly journals Interventional Treatment of Endometriosis

2020 ◽  
Author(s):  
Yang Xiaomin ◽  
Han Jun ◽  
Feng Pin ◽  
Yang Xiaojun
Keyword(s):  
Minimally Invasive ◽  
High Intensity ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Focused Ultrasound ◽  
High Intensity Focused Ultrasound ◽  
Ultrasound Treatment ◽  
Interventional Treatment ◽  
Artery Embolization ◽  
Plexus Block

Patients with endometriosis and adenomyosis naturally improve after menopause. Therefore, some patients only need to relieve symptoms, especially those near menopause, and they prefer to be treated by conservative methods. We summarized several minimally invasive interventional methods: uterine artery intervention (Uterine artery embolization, UAE), nerve intervention (upper and lower abdominal plexus block, SHPB), ultrasound intervention (puncture sclerotherapy; high intensity focused ultrasound treatment).

scholarly journals Cervical ectopic pregnancy

2021 ◽  
Vol 5 (06) ◽  
pp. 01-03
Author(s):  
Olivia Dziadek ◽  
Asha Bhalwal ◽  
Ramesha Papanna ◽  
Kenneth Moise ◽  
John Hardy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Ectopic Pregnancy ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Minimally Invasive Approach ◽  
Artery Embolization ◽  
Invasive Approach ◽  
Dilation And Curettage ◽  
Future Fertility ◽  
Cervical Ectopic Pregnancy

We performed dilation and curettage and cervical balloon placement in a cervical ectopic pregnancy after treatment with Methotrexate, KCI and bilateral uterine artery embolization. A minimally invasive approach was used in the case as the patient desired future fertility. We present the potential challenges in management of cervical ectopic pregnancy as well as approaches to treatment.

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