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- W2029685857 abstract "Study Objective: Uuterine artery embolization(UAE) is being increasingly utilized to treat uterine fibroid. But, the effects on fertility preservation following UAE are still under investigation. We present a case of huge cervical myoma spontaneously removed by UAE. Design: Case report. Setting: Pochon CHA university, KOREA. Patients: A 26-year-old, nulliparous woman with menometrorrhagia who had a huge cervical myoma 10 cm in diameter. Profuse vaginal bleeding was detected and the level of hemoglobin was 6.3 g/dl. Pelvic MRI showed huge cervical myoma with broad base accompanying with hypervascularity. Intervention: Uterine artery embolization was performed bilaterally using polyvinyl alcohol(PVA) particles. Measurements and Main Results: UAE was performed because of possibility of massive bleeding during operation. Postembolization, the patient had no further vaginal bleeding. 29 days later, MRI showed 50% volume reduction. The cervical myoma was shrinked, soft and expulsed from cervix to just above the vaginal oriface. 35 days after UAE, the huge cervical myoma was spontaneously separated from the uterus without any operation or procedure. No bleeding was noted and the cervix shows normal contour by pelvic examination. During 18 months follow-up after UAE, regular menstrual cycle and normal range of FSH & LH level were noted. Conclusion: UAE may be a safe, effective alternative to the established treatment options such as myomectomy or hysterectomy in the cases of being expected massive bleeding, even if the patient has to preserve fertility." @default.
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- W2029685857 date "2008-11-01" @default.
- W2029685857 modified "2023-10-05" @default.
- W2029685857 title "Spontaneous Vaginal Expulsion of Huge Hypervascular Myoma Following Uterine Artery Embolization" @default.
- W2029685857 doi "https://doi.org/10.1016/j.jmig.2008.09.410" @default.
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