Spontaneous expulsion of three large fibroids after uterine artery embolization.
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.
Laverge
Francoises
F
University Hospital of Wales, College of Medicine, Cardiff, United Kingdom.
D'Angelo
Arianna
A
Davies
Nigel J
NJ
Wood
Andrew
A
Amso
Nazar N
NN
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*