Outcome of arterial embolization of uterine leiomyoma: case report.

OBJECTIVE

To describe the outcomes after uterine artery embolization treatment of leiomyoma.

DESIGN

Case report.

SETTING

Department of Gynecology - Federal University of São Paulo.

PATIENT: a 34-year-old woman with a diagnosis of leiomyoma for two years.

INTERVENTION: embolization of uterine arteries with 500 to 700-microm 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.