title: Spontaneous expulsion of three large fibroids after uterine artery embolization.
abstract: OBJECTIVE
  To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. Case report.
  
  
  METHODS
  The Department of Obstetrics and Gynaecology of a university hospital.
  
  
  METHODS
  A 45-year-old woman who underwent uterine artery embolization for fibroids.
  
  
  METHODS
  Transfemoral selective bilateral uterine artery catheterization and injection of 500-700 microm polyvinyl alcohol particles.
  
  
  RESULTS
  Recovery of the patient. The spontaneous expulsion of three fibroids on three different occasions over several months resulted in a significant reduction in menstrual loss and dysmenorrhea.
  
  
  CONCLUSIONS
  Delivering fibroids or sections of fibroids may be a natural process after uterine artery embolization, therefore it is essential to warn women about the possible risk. Close follow-up is also essential. The size of the fibroids discharged did not require hysterectomy. Adequate antibiotic cover may be necessary to prevent sepsis.
authors.affiliation: University Hospital of Wales, College of Medicine, Cardiff, United Kingdom.
authors.forename: Francoises
authors.initials: F
authors.lastname: Laverge
authors.forename: Arianna
authors.initials: A
authors.lastname: D'Angelo
authors.forename: Nigel J
authors.initials: NJ
authors.lastname: Davies
authors.forename: Andrew
authors.initials: A
authors.lastname: Wood
authors.forename: Nazar N
authors.initials: NN
authors.lastname: Amso
mesh_terms: D001158:Arteries; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000503:physiopathology* / Q000628:therapy*; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000473:pathology / Q000503:physiopathology* / Q000628:therapy*; D014599:Uterus / Q000098:blood supply* / Q000503:physiopathology*