TY - JOUR T1 - Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu TT - Expulsion Of A Uterin Myoma After Uterin Artery Embolization: Case Report AU - Özay, Ali AU - Emekçi, Özlen AU - Acar, Berrin AU - Akberova, Aygün AU - Akdöner, Aslı PY - 2016 DA - December DO - 10.16948/zktipb.237119 JF - Zeynep Kamil Tıp Bülteni PB - Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH WT - DergiPark SN - 1300-7971 SP - 118 EP - 120 VL - 47 IS - 4 LA - tr AB - Giriş: Uterin arter embolizasyonundan sonra myomların servikal prolapsusu nadir görülen durumlardan biridir.Kavite içerisindeki saplı, büyük çaplı, küçüldüğünde prolabe olabilecek myomlarda dikkatli olunması gereklidir.Olgu: Myom nedeniyle ciddi menoraji öyküsü olan ve cerrahi tedaviyi kabul etmeyen 42 yaşındaki kadın hastaya uterin arter embolizasyonu uygulandı. İşlemden 8 gün sonra myom prolapsusu ve yoğun vajinal kanama ile başvuran hastada total abdominal histerektomi yapıldı.Sonuç: Büyük çaplı myomlar uterin arter embolizasyonundan her zaman fayda görmemektedir. KW - myom KW - embolizasyon KW - ekspulsiyon N2 - Introduction: Cervical prolapsus of myomas after uterin artery embolization is very rare.Case: A patient aged 42 was admitted to Dokuz Eylul University Hospital because of a myoma uteri casuing menorrhagia and she rejected surgical treatment. She underwent uterin artery embolization. 8 days after the embolization, she admitted to our service with abnormal vaginal bleeding and cervical prolapsus of the myoma and she underwent total abdominal hysterectomy.Conclusion: Large myomas won’t always benefit from uterin artery embolization. CR - Goodwin SC, McLucas B, Vdantham S, Perrella S. Preliminary experience with uterine artery embolization for uterine fibroids. J Vasc Interve Radiol. 1997 ;8:517-526. CR - Ravina JH, Herbreteau D, Ciraru-Vigneron N, Bouret JM, Houdart E, Aymard A, Merland JJ. Arterial embolisation to treat uterine myomata. Lancet. 1995 Sep 9;346(8976):671-2. CR - Goodwin SC, McLucas B, Lee M. Uterine artery embolisation for treatment of uterine leiomyomata midterm results. J Vasc Interv Radiol. 1999;10:1159-65. CR - Siskin GP, Stainken BF, Dowling K. Outpatient uterine arteryembolisation for symptomatic uterine fibroids: experience in 49patients. J Vasc Inerv Radiol. 2000;11:305-11. CR - Olive DL. New approches to management of fibroids. Obstet Gynecol Clin North Am. 2000;27:669-77. CR - Laverge F, D’Angelo A, Davies NJ, Wood A, Amso NN. Spontaneous expulsion of three large fibroids after uterine artery embolization. Fertil Steril 2003; 80:450–452. CR - Marret H, Keris Yle B, Acker O, Cottier JP, Herbreteau D. Late leiomyoma expulsion after uterine artery embolization. J Vasc Interv Radiol 2004; 15:1483–1485. CR - Abbara S, Spies JB, Scialli AR, Jha RC, Lage JM, Nikolic B. Transcervical expulsion of a fibroid as a result of uterine artery embolization for leiomyomata, J Vasc Interv Radiol. 1999 Apr;10(4):409-11. CR - Shlansky-Goldberg RD, Coryell L, Stavropoulos SW, Trerotola SO et all. Outcomes Following Fibroid Expulsion after Uterine Artery Embolization. J Vasc Interv Radiol 2011; 22:1586–1593. UR - https://doi.org/10.16948/zktipb.237119 L1 - https://dergipark.org.tr/en/download/article-file/272366 ER -