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Uterine fibroid embolization

Case - 1 : Young lady , Mother of two children, had a large fibroid in the uterus causing menorrhagia and pain.
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Right uterine angiogram shows fibroid vasculature
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Postembolization right uterine angiogram shows obliteration of abnormal vasculature.
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Left uterine angiogram shows fibroid vasculature ( Multiple enlarged vessels with cork screw appearance) , much more than right side.
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Postembolization left uterine angiogram shows no evidence of abnormal vasculature . Note that uterine artery is patent.

 

Ultrasound scan done after 6 weeks showed small residual fibroid. Patient was symptomfree after the procedure.

 

Case-2 : Another lady with a large uterine  fibroid presented with menorrhagia and pelvic pressure symptoms due to pressure on bladder and rectum.

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Aortogram showing enlarged uterine arteries
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Fobroid circulation
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Fibroid stain  shows how large is the fibroid
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Right uterine angiogram shows abnormal fibroid vasculature.
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Post embolization angiogram  of right uterine artery shows no abnormal vasculature.
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Left uterine artery also shows abormal vasculature
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Post embolization  left uterine angiogram shows no abnormal vasculature
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Post embolization aortogram  shows no fibroid vascularity

 

Case-3 : young lady , mother of two , had painful menorrhagia and a large fibroid

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Right uterine angiogram shows large fibroid with enlarged abnormal blood vessels within.
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Post embolization right uterine angiogram  shows  patent uterine artery and obliteration of abnormal vasculature
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Post embolization left uterine angiogram also shows obliteration of abnormal vasculature
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Follow up ultrasound after 4 weeks shows gross reduction in the fibroid size.

 

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