Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Oct 11;14(10):e30163.
doi: 10.7759/cureus.30163. eCollection 2022 Oct.

Spontaneous Expulsion of a Huge Cervical Fibroid After Uterine Artery Embolization Done as a Lifesaving Procedure for Acute Severe Abnormal Uterine Bleeding

Sharmeen I Memon  1 , Neema S Acharya  1 , Jyotsana Potdar  1
Affiliations
Case Reports

Spontaneous Expulsion of a Huge Cervical Fibroid After Uterine Artery Embolization Done as a Lifesaving Procedure for Acute Severe Abnormal Uterine Bleeding

Sharmeen I Memon et al. Cureus. .

Abstract

Uterine fibroids are a prevalent disease that most commonly affects women of reproductive age group and causes symptoms such as abnormal uterine bleeding that can have a detrimental impact on their quality of life. Being in the reproductive age group, fertility-conserving modalities in the form of hormonal therapy, myomectomy, hysterectomy, and uterine artery embolization (UAE) remain the main treatment options. Uterine artery embolization is one of the treatment options for select cases of fibroid uterus. Here, we present the case of a 36-year-old woman diagnosed with cervical leiomyoma who presented with uncontrollable uterine bleeding, severe anemia, and many failed medical therapies. Although the case did not fit within the usual UAE guidelines, the treatment was done to tide over the crisis as a temporary method to control severe hemorrhage. Bleeding was controlled immediately and the patient was getting prepared for major surgery with the correction of severe anemia. However, seven days after UAE, the fibroid spontaneously expelled itself, resulting in improved symptoms and the avoidance of surgery. The patient is currently symptomless and has improved sexual life, self-esteem, and quality of life.

Keywords: abnormal uterine bleeding; leiomyoma; severe anemia; uterine artery embolization; uterine fibroid.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Ultrasound of the pelvis with Doppler.
(A) A large cervical fibroid measuring 14.5 × 10.5 cm. (B) Cervical fibroid showing marked vascularity.
Figure 2
Figure 2. Digital subtraction angiography images during the uterine artery embolization procedure.
(A) Pre-embolization images showing dilated and tortuous uterine arteries (black arrows). (B) Post-embolization images showing effective embolization of the uterine arteries.
Figure 3
Figure 3. Huge cervical fibroid expulsion.
(A) Spontaneous expulsion through the vagina (B). Gross specimen measuring 15 × 10cm in size.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Current treatment options for cervical leiomyomas: a systematic review of literature. Ferrari F, Forte S, Valenti G, et al. Medicina (Kaunas) 2021;57:92. - PMC - PubMed
    1. Uterine artery embolization for leiomyomas and adenomyosis: a pictorial essay based on our experience from 1300 cases. Kim MD. Korean J Radiol. 2019;20:1462–1473. - PMC - PubMed
    1. Uterine artery embolization in women with symptomatic cervical leiomyomata: efficacy and safety. de Bruijn AM, Adriaansens SJ, Smink M, et al. Cardiovasc Intervent Radiol. 2019;42:371–380. - PMC - PubMed
    1. Uterine artery embolization: a review of current concepts. Keung JJ, Spies JB, Caridi TM. Best Pract Res Clin Obstet Gynaecol. 2018;46:66–73. - PubMed
    1. Unique learning system for uterine artery embolization for symptomatic myoma and adenomyosis for obstetrician-gynecologists in cooperation with interventional radiologists: evaluation of UAE from the point of view of gynecologists who perform UAE. Soeda S, Hiraiwa T, Takata M, et al. J Minim Invasive Gynecol. 2018;25:84–92. - PubMed

Publication types

LinkOut - more resources