title: Persistent vaginal discharge after uterine artery embolization for fibroid tumors: cause of the condition, magnetic resonance imaging appearance, and surgical treatment.
abstract: OBJECTIVE
  The purpose of this study was to establish the cause of and treatment for chronic vaginal discharge after uterine artery embolization.
  
  
  METHODS
  This was a retrospective review of the diagnosis and treatment of the procedure at 3 months.
  
  
  RESULTS
  In 94% of patients, the condition either completely resolved or diminished to a nonproblematic level.
  
  
  CONCLUSIONS
  The persistent discharge in these patients was due to a superficial cavity within the infarcted fibroid tumor that was communicating with the endometrial cavity through a hole in the endometrium. This situation is indicated by a specific appearance on TII sagittal magnetic resonance images. Hysteroscopic resection of the necrotic fibroid tumor cavity was usually curative.
authors.affiliation: Royal Surrey County Hospital, Departments of Obstetrics and Gynaecology and Radiology, Guildford, United Kingdom.
authors.forename: Woodruff J
authors.initials: WJ
authors.lastname: Walker
authors.forename: Tyrone T
authors.initials: TT
authors.lastname: Carpenter
authors.forename: Andrew S H
authors.initials: AS
authors.lastname: Kent
mesh_terms: D002908:Chronic Disease; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000175:diagnosis / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*; D019522:Vaginal Discharge / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*