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Korean Journal of Obstetrics & Gynecology 2006;49(11):2438-2444.
Published online November 1, 2006.
A Case of Transvaginal Expulsion of Intramural Leiomyoma after Uterine Artery Embolization.
Seung Jun Park, Gi Young Kim, Sang Hwak Han, Jeong Bum Choi, Sin Hye Kim, Ji Hoon Yoo, Hwan Sung Joe, Hyo Sang Han, In Cheul Hwang, Seung Boo Yang
1Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Gumi, Korea. www.joes_club@lycos.co.kr
2Department of Radiology, College of Medicine, Soonchunhyang University, Gumi, Korea.
Abstract
Uterine artery embolization for the treatment of uterine leiomyomas is gaining acceptance as an effective alternative to surgical treatment in preserving uterus and reducing symptoms. Vaginal expulsion of leiomyomas after UAE is uncommon, and has been regarded as a side effect of the procedure, as well as a natural phenomenon of treatment response. A-28-year-old unmarried woman who has been suffered from menorrhagia underwent UAE. MRI revealed the remnant leiomyomas were reduced in size and volume and also symptoms of leiomyomas were much improved. After 6 month, We've made sure about non-visualization of leiomyoma on follow-up pelvic dynamic MRI. We report this rare case of vaginal expusion of intramural leoimyoma with a brief literature.
Key Words: Uterine artery embilization, Vaginal expulsion, Intramural leiomyoma


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