Spontaneous expulsion of a uterine submucosal leiomyoma after administration of a gonadotropin-releasing hormone agonist.
A 40-year-old primigravida presented with acute urine retention. Ultrasound examination revealed a large uterine submucosal leiomyoma and GnRH-a was administered. The leiomyoma grew to over twice its original size and protruded through the introitus. After 10 days, it was expelled completely and removed by resectohysteroscopy. The expulsion of the leiomyoma was most likely a result of GnRH-a's flare-up effect.
Yu
K J
KJ
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University, National Defense Medical Center, Taipei, Taiwan. kjyu@vghtpe.gov.tw
Lai
C R
CR
Sheu
M H
MH
D000328:Adult; D005260:Female; D017273:Goserelin / Q000627:therapeutic use*; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008279:Magnetic Resonance Imaging; D014463:Ultrasonography; D016055:Urinary Retention / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*
D017273:Goserelin