title: Late leiomyoma expulsion after uterine artery embolization.
abstract: A case of late expulsion of a leiomyoma after uterine artery embolization (UAE) is reported in a 49-year-old woman who underwent UAE for a huge (13 cm x 12 cm; 1,061 cm(3)) bleeding- and bulk-related intramural leiomyoma diagnosed with ultrasonography. Free-flow embolization was performed with 150-400-microm polyvinyl alcohol particles and absorbable particle sponge. Symptoms and myoma size were successfully controlled until 44 months, at which time the patient reported vaginal discharge. A 7-cm necrotic, partly submucosal leiomyoma was detected. The patient refused hysterectomy and spontaneously expelled the leiomyoma through the cervix 6 months later. In conclusion, UAE necessitates long-term follow-up and women should be warned of late complications.
authors.affiliation: Department of Gynecology, Obstetrics, Fetal Medicine and Human Reproduction, Hôpital Bretonneau, Centre Hospitalo-Universitaire de Tours, 2 Boulevard Tonnellé, 37044 Tours cedex 1, France. marret@med.univ-tours.fr
authors.forename: Henri
authors.initials: H
authors.lastname: Marret
authors.forename: Yann Le Brun
authors.initials: Yle B
authors.lastname: Keris
authors.forename: Olivier
authors.initials: O
authors.lastname: Acker
authors.forename: Jean Philippe
authors.initials: JP
authors.lastname: Cottier
authors.forename: Denis
authors.initials: D
authors.lastname: Herbreteau
mesh_terms: D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*; D014621:Vagina