Ghafarzadeh M, Marzban-Rad S, Sattari P, Taheri HR. Uterine artery embolization technique for treatment of a huge multi myomatous uterus in a virgin woman.
Ann Med Surg (Lond) 2022;
77:103722. [PMID:
35638039 PMCID:
PMC9142713 DOI:
10.1016/j.amsu.2022.103722]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/29/2022] [Accepted: 05/01/2022] [Indexed: 11/10/2022] Open
Abstract
Introduction
Uterine artery embolization is a non-surgical method performed for large and numerous fibroids to preserve the fertility.
Case presentation
The patient is a 36-year-old virgin woman with menometrorrhagia, abdominal pressure, constipation, bilateral abdominal pain, frequent urination and a compressive effect on the intestines was reported to our center. She was diagnosed with uterine fibroids.
Discussion
Because the type of uterine masses and possibility of uncontrollable bleeding during myomectomy and hysterectomy, uterine vascular embolization by supra selective angiography to preserve the uterus was performed. Due to fever, pain and vaginal discharge, she was hospitalized again and hysterotomy was performed without any reported complications.
Conclusion
Uterine artery embolization is a safe method, however reduction and loss in ovarian function can be seen with the treatment. Measurement of follicle stimulating hormone and anti-Müllerian hormone before and after the treatment is important.
Fibroids are very common, occur individually or in multiple myometrial smooth muscle cells.
The patient is a 36-year-old virgin woman with menometrorrhagia, abdominal pressure.
she was hospitalized again and hysterotomy was performed without any reported complications.
It is also recommended to use egg storage with existing methods if possible, to maintain future fertility.
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