Nongravid incarcerated uterus with leiomyomas treated with uterine artery embolization and hysterectomy: a case report.

BACKGROUND

The incarcerated uterus in the nongravid patient is rare, and usually is associated with uterine leiomyomas. Leiomyomas may be treated with uterine artery embolization, but the use of embolization has been reportedly rarely in treating nongravid uterine incarceration.

CASE: A 50-year-old gravida 2 para 2 woman presented with acute abdominal and flank pain and urinary retention. Her medical history included uterine leiomyomas and nephrolithiasis. Physical examination showed an enlarged uterus (size, 22 weeks). Magnetic resonance imaging showed an incarcerated uterus, complete bladder outlet obstruction, uterine retroflexion and enlargement, and leiomyomas. She was treated with an indwelling Foley catheter, preoperative uterine artery embolization, and total abdominal hysterectomy.

CONCLUSION

Preoperative uterine artery embolization may be a useful adjunct to hysterectomy in the treatment of the nongravid incarcerated uterus associated with leiomyomas in women who have completed family planning.