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

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.

Keywords

• Myoma, embolization, expulsion

Uterin arter embilozasyonu sonrası myoma uterinin ekspulsiyonu: olgu sunumu

Öz

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.

Anahtar Kelimeler

• myom, embolizasyon, ekspulsiyon

Kaynakça

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