A year after embolization, uterine fibroids have shrunk 8 times

In November 2015, patient E.M., 1978y/b, Armenian living abroad has been admitted to MC Erebouni for surgical treatment of uterine fibroids.

The patient expects to be pregnant because of continuously increasing size of the belly, which corresponded to 20 weeks of pregnancy. According to ultrasound scan, it has been diagnosed: multiple uterine fibroids (the largest node on pedicle is 180× 106× 166 mm. the volume of the node is 1660 sm³), as well as several nodes of a small size ˜ 3 sm with a deformation of the uterine cavity.

Due to contraindications for open surgical treatment of the patients (systemic lupus erythematosus, antiphospholipid syndrome, pulmonary embolism, mitral regurgitation IV, pulmonary hypertension I) the alternative method as an uterine arteries embolisation was discussed. The patient has applied to various foreign clinics, but had been refused in any intervention due to life-threatening condition and very high risk even for embolisation procedure. However, because there was no other chose to treat and help the patient the specialists of MC Erebouni took decision to perform myoma embolization, that had been performed in November 5th, 2016, by interventonal surgeon of Department of Angiography and Interventional Cardiology of MC Erebouni Dr. Arsen Tsaturyan ,MD was carried out the uterine arteries embolization.

Due to large uterine fibroid, moderate post-embolization syndrome in postoperative period was observed (pelvic pain, fever, nausea, vomiting), which was solved with medication. The patient was discharged on the 7th day in satisfactory condition.

In a year- in December 2016, the patient E.M. was conducted ultrasound examination, which showed that the size of the large node was decreased over time almost twice - to 73 ×76 ×70 mm, and the volume was decreased eight times in comparison with the initial size - 206.8 cm³ (87%), from small nodes was determined only one - 22 × 27 mm, without uterine cavity deformation. The patient had no longer complaints.

The method of embolization has very important role, especially in condition when there is an indication for uterus removal. In presence of indications the uterine fibroids embolization became a gentle and radical method of uterine fibroids (myoma) treatment, which long-term follow-up results are equal to open surgical interventions, making it possible to keep the uterine and fertility in women.

The embolization of fibroids in size larger than 20 weeks of pregnancy was carried out in Armenia, in MC Erebouni for the first time. The intervention had a high percentage of risk. However, it can be noble when on the table is the life of the patient. Professionalism and preparedness of the specialists as well as technical equipment have played their role.

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