Development of a hypertrophic ovarian artery after uterine artery embolization with polyvinyl alcohol particles.
Uterine artery embolization (UAE) for the treatment of symptomatic leiomyomata has shown excellent short-term clinical efficacy and minimal complications, yet recurrences after successful treatments at mid- and long-term follow-up have been reported. Exact etiologies for such recurrences have not been fully understood. We present a case of symptom recurrence with the development of a hypertrophic ovarian artery after successful UAE with polyvinyl alcohol particles, successfully treated with ovarian and repeat UAEs.
Kim
Hyun S
HS
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. sikhkim@jhmi.edu
Paxton
Ben E
BE
D000180:Acrylic Resins / Q000008:administration & dosage; D000328:Adult; D015901:Angiography, Digital Subtraction; D001158:Arteries / Q000473:pathology / Q000503:physiopathology; D003097:Collateral Circulation; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005780:Gelatin / Q000008:administration & dosage; D006801:Humans; D006984:Hypertrophy; D007889:Leiomyoma / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D010049:Ovarian Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D010053:Ovary / Q000098:blood supply*; D011142:Polyvinyl Alcohol / Q000008:administration & dosage*; D012008:Recurrence; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000098:blood supply / Q000628:therapy*
D000180:Acrylic Resins; C496735:trisacryl gelatin microspheres; D005780:Gelatin; D011142:Polyvinyl Alcohol