Korean J Obstet Gynecol.  2000 Feb;43(2):318-321.

Transcervical expulsion of a submucosal myoma as a result of uterine artery embolization

• Lee JD
• Kim SJ
• Lee HK
• Kim JA
• Kang BC
• Hur SY
• Lee GS
• Shin JC
• Kim SP

Abstract

Uterine artery embolization was introduced to arrest post-partum hemorrhage 20 years ago. It has also been used to control severe hemorrhage from uterine gestational trophoblast tumors, carcinoma of the uterus, uterine arteriovenous malformations, and cases of pelvic trauma. More recently, transcatheter uterine artery embolization is a new treatment for uterine leiomyoma. A 33-year old married woman with 2 children had a history of heavy pelvic pain and pressure. Ultrasound and MRI investigation showed a bulky 12 x 10cm submucosal myoma in right lower uterine segment. The both uterine artery embolization was performed via a bilateral femoral artery. We present a case in which successful embolization of the uterine arteries in a woman with submucosal myoma resulted in a subsequent transcervical expulsion of large pieces of the dominant fibroid after 3 month of treatment with a brief review.

Keyword

submucosal myoma; uterine artery embolization

MeSH Terms

Adult
Arteriovenous Malformations
Child
Female
Femoral Artery
Hemorrhage
Humans
Leiomyoma
Magnetic Resonance Imaging
Myoma*
Pelvic Pain
Trophoblastic Neoplasms
Ultrasonography
Uterine Artery Embolization*
Uterine Artery*
Uterus