Abstract
Preoperative Uterine Artery Embolization for Huge Prolapsed Pedunculated Submucosal Fibroid
Highlights
Submucosal fibroids, in particular pedunculated fibroids prolapsed into the vagina, are associated with heavy uterine bleeding and subsequent heavy anemia
The management of prolapsed pedunculated fibroid is determined by the origin and thickness of the pedicle, size, and its location
The patient was put off Uterine artery embolization (UAE) to reduce the blood supply, within 24 hours, with a surgical excision of 70% of the fibroid vaginally and subsequent simple abdominal hysterectomy and bilateral salpingo-oophorectomy
Summary
Uterine fibroids (myomas) are very common affecting more than 60% of women over the age of 45 years [1,2]. Submucosal fibroids, in particular pedunculated fibroids prolapsed into the vagina, are associated with heavy uterine bleeding and subsequent heavy anemia. The management of prolapsed pedunculated fibroid is determined by the origin and thickness of the pedicle, size, and its location. Uterine artery embolization (UAE) is increasingly being applied as a minimally invasive treatment alternative to surgery for the reduction of uterine fibroid symptoms [3].
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