title: Preoperative embolization of a large vaginal leiomyoma: report of a case and review of the literature.
abstract: Leiomyoma of the vagina is a very rare tumour of the lower urogenital tract. These slow-growing masses may be asymptomatic or present with pain, dyspareunia or urinary symptoms. Rarely, these tumours may present with life-threatening haemorrhage. These hypervascular tumours are treated by surgical excision. Preoperative embolization therefore may aid in devascularization of these tumours before surgical excision. We present the MRI features of a case of vaginal leiomyoma, which was managed by preoperative embolization and was then excised in toto. To the best of our knowledge, this is the first report where preoperative embolization was performed before excision of a vaginal leiomyoma with minimal peroperative blood loss.
authors.affiliation: Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India. bapuraj@sancharnet.in
authors.forename: J R
authors.initials: JR
authors.lastname: Bapuraj
authors.forename: V
authors.initials: V
authors.lastname: Ojili
authors.forename: S K
authors.initials: SK
authors.lastname: Singh
authors.forename: G R V
authors.initials: GR
authors.lastname: Prasad
authors.forename: N
authors.initials: N
authors.lastname: Khandelwal
authors.forename: S
authors.initials: S
authors.lastname: Suri
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction / Q000379:methods; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000379:methods; D010388:Pelvis / Q000098:blood supply / Q000000981:diagnostic imaging; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D011300:Preoperative Care / Q000379:methods*; D035583:Rare Diseases; D014621:Vagina / Q000473:pathology* / Q000601:surgery; D014625:Vaginal Neoplasms / Q000601:surgery / Q000628:therapy*
chemical_list: D011142:Polyvinyl Alcohol