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Expulsion Of A Uterin Myoma After Uterin Artery Embolization: Case Report

Year 2016, , 118 - 120, 31.10.2016
https://doi.org/10.16948/zktipb.237119

Abstract

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.

References

  • 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.
  • 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.
  • Goodwin SC, McLucas B, Lee M. Uterine artery embolisation for treatment of uterine leiomyomata midterm results. J Vasc Interv Radiol. 1999;10:1159-65.
  • Siskin GP, Stainken BF, Dowling K. Outpatient uterine arteryembolisation for symptomatic uterine fibroids: experience in 49patients. J Vasc Inerv Radiol. 2000;11:305-11.
  • Olive DL. New approches to management of fibroids. Obstet Gynecol Clin North Am. 2000;27:669-77.
  • 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.
  • 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.
  • 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.
  • 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.

Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu

Year 2016, , 118 - 120, 31.10.2016
https://doi.org/10.16948/zktipb.237119

Abstract

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.

References

  • 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.
  • 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.
  • Goodwin SC, McLucas B, Lee M. Uterine artery embolisation for treatment of uterine leiomyomata midterm results. J Vasc Interv Radiol. 1999;10:1159-65.
  • Siskin GP, Stainken BF, Dowling K. Outpatient uterine arteryembolisation for symptomatic uterine fibroids: experience in 49patients. J Vasc Inerv Radiol. 2000;11:305-11.
  • Olive DL. New approches to management of fibroids. Obstet Gynecol Clin North Am. 2000;27:669-77.
  • 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.
  • 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.
  • 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.
  • 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.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section OBSTETRICS AND GYNECOLOGY
Authors

Ali Özay

Özlen Emekçi This is me

Berrin Acar This is me

Aygün Akberova This is me

Aslı Akdöner This is me

Publication Date October 31, 2016
Published in Issue Year 2016

Cite

APA Özay, A., Emekçi, Ö., Acar, B., Akberova, A., et al. (2016). Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu. Zeynep Kamil Tıp Bülteni, 47(4), 118-120. https://doi.org/10.16948/zktipb.237119
AMA Özay A, Emekçi Ö, Acar B, Akberova A, Akdöner A. Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu. Zeynep Kamil Tıp Bülteni. December 2016;47(4):118-120. doi:10.16948/zktipb.237119
Chicago Özay, Ali, Özlen Emekçi, Berrin Acar, Aygün Akberova, and Aslı Akdöner. “Uterin Arter Embilozasyonu Sonrası Myoma Uterinin Ekspulsiyonu: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 47, no. 4 (December 2016): 118-20. https://doi.org/10.16948/zktipb.237119.
EndNote Özay A, Emekçi Ö, Acar B, Akberova A, Akdöner A (December 1, 2016) Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu. Zeynep Kamil Tıp Bülteni 47 4 118–120.
IEEE A. Özay, Ö. Emekçi, B. Acar, A. Akberova, and A. Akdöner, “Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu”, Zeynep Kamil Tıp Bülteni, vol. 47, no. 4, pp. 118–120, 2016, doi: 10.16948/zktipb.237119.
ISNAD Özay, Ali et al. “Uterin Arter Embilozasyonu Sonrası Myoma Uterinin Ekspulsiyonu: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 47/4 (December 2016), 118-120. https://doi.org/10.16948/zktipb.237119.
JAMA Özay A, Emekçi Ö, Acar B, Akberova A, Akdöner A. Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu. Zeynep Kamil Tıp Bülteni. 2016;47:118–120.
MLA Özay, Ali et al. “Uterin Arter Embilozasyonu Sonrası Myoma Uterinin Ekspulsiyonu: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni, vol. 47, no. 4, 2016, pp. 118-20, doi:10.16948/zktipb.237119.
Vancouver Özay A, Emekçi Ö, Acar B, Akberova A, Akdöner A. Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu. Zeynep Kamil Tıp Bülteni. 2016;47(4):118-20.