Focused ultrasound surgery of intramural leiomyomas may facilitate fertility: a case report.
OBJECTIVE
To describe a successful pregnancy after a change in configuration of the endometrial cavity after magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) for leiomyomas.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 40-year-old woman with known leiomyomas and a history of secondary infertility.


METHODS
Magnetic resonance imaging-guided focused ultrasound surgery treatment of two intramural myomas, one with a significant submucosal component.


METHODS
Change in conformation of the uterine cavity.


RESULTS
A viable intrauterine pregnancy, with full-term uneventful labor and vaginal delivery.


CONCLUSIONS
Magnetic resonance imaging-guided focused ultrasound surgery changed the configuration of the endometrial cavity, and a subsequent pregnancy resulted in a term delivery.
Hanstede
Miriam M F
MM
Department of Obstetrics, Gynecology, and Reproductive Biology, Boston, Massachusetts, USA.
Tempany
Clare M C
CM
Stewart
Elizabeth A
EA
D000328:Adult; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D018231:Leiomyomatosis / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D025321:Surgery, Computer-Assisted; D018084:Ultrasonography, Interventional; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*