Spontaneous expulsion of three large fibroids after uterine artery embolization.

ABSTRACT

OBJECTIVE: To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. 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 microm polyvinyl alcohol particles. RESULT(S) Recovery of the patient. 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.