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Spontaneous expulsion of three large fibroids after uterine artery embolization

Laverge, Francoises, D'Angelo, Arianna, Davies, Nigel J., Wood, Andrew and Amso, Nazar Najib 2003. Spontaneous expulsion of three large fibroids after uterine artery embolization. Fertility and Sterility 80 (2) , pp. 450-452. 10.1016/S0015-0282(03) 00606-X

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Objective: To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. Design: Case report. Setting: The Department of Obstetrics and Gynaecology of a university hospital. Patient(s): A 45-year-old woman who underwent uterine artery embolization for fibroids. Intervention(s): Transfemoral selective bilateral uterine artery catheterization and injection of 500–700 �m polyvinyl alcohol particles. Main Outcome Measure(s): Recovery of the patient. Result(s): The spontaneous expulsion of three fibroids on three different occasions over several months resulted in a significant reduction in menstrual loss and dysmenorrhea. Conclusion(s): Delivering fibroids or sections of fibroids may be a natural process after uterine artery embolization, therefore it is essential to warn women about the possible risk. Close follow-up is also essential. The size of the fibroids discharged did not require hysterectomy. Adequate antibiotic cover may be necessary to prevent sepsis.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RG Gynecology and obstetrics
Uncontrolled Keywords: Uterine artery embolization ; fibroid ; expulsion of fibroid ; menorrhaggia
Publisher: Elsevier
ISSN: 0015-0282
Last Modified: 15 Dec 2017 09:50

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