Myoma expulsion after embolization: case report and literature review

• Published in: The Pan African medical journal Vol. 43; p. 210
• Main Authors: Silva, Maria Clara Amorim, da Costa, Rafael Everton Assunção Ribeiro, Júnior, Wilson de Oliveira Sousa, Carvalho, Ariane Pereira, Vieira, Sabas Carlos
• Format: Journal Article
• Language: English
• Published: Uganda The African Field Epidemiology Network 2022
• Subjects: Adult; Case Report; Embolization, Therapeutic - methods; Female; Humans; Leiomyoma - therapy; Myoma - therapy; Uterine Artery Embolization - methods; Uterine Neoplasms - therapy; Uterus; postoperative complications; case report; Myoma; uterine artery embolization
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2022.43.210.38030

Uterine artery embolization (UAE) is a very efficient treatment modality for myoma. A rare complication of this procedure is vaginal expulsion of the uterine myoma (expelled myoma) which may occur in 3 to 5% of cases during a period of 3 to 48 months. We report a case of myoma expulsion after embolization, discussing diagnosis and treatment. A literature review was also conducted. A 40-year-old patient sought medical care on 5/2/2021 with intermittent pelvic pain and hypermenorrhagia. Vaginal ultrasound revealed an enlarged uterus (253 cm
) with myomas. The largest intramural myoma measured 7 cm. Uterine artery embolization was performed on 11/11/2021, without any complications. On 12/7/2021, during clinical examination an expelled myoma was observed entirely inside the vaginal canal. A vaginal myomectomy was performed, without any complications. At 15 months after the initial follow-up, the patient is doing well.