Outcome of arterial embolization of uterine leiomyoma: case report

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2011-01-01
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Bonduki, Claudio Emilio [UNIFESP]
Yokohama, Cláudio [UNIFESP]
Soares, Jose Maria [UNIFESP]
Motta, Eduardo Leme Alves da [UNIFESP]
Girão, Manoel João Batista Castello [UNIFESP]
Baracat, Edmund Chada [UNIFESP]
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Objective: To describe the outcomes after uterine artery embolization treatment of leiomyoma. Design: Case report. Setting: Department of Gynecology - Federal University of Sao Paulo. Patient: a 34-year-old woman with a diagnosis of leiomyoma for two years. Intervention: embolization of uterine arteries with 500 to 700-mu diameter polyvinyl alcohol particles. Main outcome measure: pregnancy and delivery. Results: After embolization, the follow-up revealed a good clinical response with significant reduction in uterus and leiomyoma volume. Also, the patient became spontaneously pregnant, but the delivery was cesarean section due to placenta accreta.. Conclusion: Regardless of arterial embolization results for controlling uterine bleeding, this procedure might have some consequences on pregnancy outcome.
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Clinical And Experimental Obstetrics & Gynecology. Montreal: I R O G Canada, Inc, v. 38, n. 2, p. 188-189, 2011.
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