Uterine fibroid
A 31 years old parous lady with severe dysmenorrhea and menorrhagia on
evaluation was diagnosed with multiple uterine fibroids. Screening non
contrast MRI of uterus showed large sub-mucosal uterine fibroid with
small subserosal fibroids. Uterine Artery Embolisation (UAE) of the
fibroid under monitored anaesthesia was done with 250 - 355 CONTOUR PVA
Embolisation particles (Boston Scientific) until stasis. There were no
immediate complications and procedure was tolerated well. Serial post
embolisation MRI after 3 months and 6 months showed serial involution in
the size of the fibroids. Remainder of the uterine myometrium showed
normal signal intensity with normal cervix. Thus, complete curative
result was achieved for uterine fibroids through uterine artery
embolization. (Figure 4).
In another scenario of fibroid complicating pregnancy, uterine artery
embolization with catheter placement done preoperatively was used as a
means to reduce the intraoperative blood loss during the procedure of
cesarean myomectomy.