Spontaneous expulsion of three large fibroids after uterine artery embolization

Laverge, Francoises, D'Angelo, Arianna, Davies, Nigel J., Wood, Andrew and Amso, Nazar Najib ORCID: https://orcid.org/0000-0002-8646-6623 2003. Spontaneous expulsion of three large fibroids after uterine artery embolization. Fertility and Sterility 80 (2) , pp. 450-452. 10.1016/S0015-0282(03)

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Abstract

Objective: To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. Design: Case report. Setting: The Department of Obstetrics and Gynaecology of a university hospital. Patient(s): A 45-year-old woman who underwent uterine artery embolization for fibroids. Intervention(s): Transfemoral selective bilateral uterine artery catheterization and injection of 500–700 �m polyvinyl alcohol particles. Main Outcome Measure(s): Recovery of the patient. Result(s): The spontaneous expulsion of three fibroids on three different occasions over several months resulted in a significant reduction in menstrual loss and dysmenorrhea. Conclusion(s): Delivering fibroids or sections of fibroids may be a natural process after uterine artery embolization, therefore it is essential to warn women about the possible risk. Close follow-up is also essential. The size of the fibroids discharged did not require hysterectomy. Adequate antibiotic cover may be necessary to prevent sepsis.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics
Uncontrolled Keywords:	Uterine artery embolization ; fibroid ; expulsion of fibroid ; menorrhaggia
Publisher:	Elsevier
ISSN:	0015-0282
Last Modified:	07 Nov 2022 09:11
URI:	https://orca.cardiff.ac.uk/id/eprint/33840

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