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.