Uterine arterial embolization for the treatment of diffuse leiomyomatosis.
Diffuse leiomyomatosis of the uterus is an extremely rare condition and presents as a diffuse involvement of the myometrium by numerous leiomyomata. Despite patients being in only the third or fourth decades of life, all previously reported patients with this condition have undergone hysterectomy because myomectomy is impossible for this condition. Uterine arterial embolization (UAE) successfully reduced the uterine volume of diffuse leiomyomatosis without major complications in the case presented herein, and the symptoms improved remarkably. Enhanced magnetic resonance imaging after intravenous injection of gadolinium demonstrated global infarction of the vast majority of nodules.
Kido
Aki
A
Department of Nuclear Medicine and Diagnostic Imaging, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan 606-8507.
Monma
Chika
C
Togashi
Kaori
K
Ueda
Hiroyuki
H
Itoh
Kyo
K
Fujii
Shingo
S
Konishi
Junji
J
D000328:Adult; D000792:Angiography; D001158:Arteries; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006801:Humans; D018231:Leiomyomatosis / Q000098:blood supply / Q000175:diagnosis / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D015641:Radiography, Interventional; D014594:Uterine Neoplasms / Q000098:blood supply / Q000175:diagnosis / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*