For Physicians: Representative Cases

Case 1 | Case 2 | Case 3 | Case 4 : Personal Story

45yo WF with a 3 yr h/o increasing dysmenorrhea, menorrhagia and anemia. Other symptoms included pelvic pressure and pain, back and leg pain, bloating, lethargy, and urinary frequency. On examination her uterus was 14 weeks gestational size. MRI revealed a 6cm dominant fibroid.

Results: At six month follow-up her uterus is significantly reduced in size with a 79% reduction in the dominant fibroid. Her symptoms are all markedly improved.

Figure 1 : MRI pre-embolization, MRI post-embolization, Gadolinium enhanced MRI post embolization. Initial MRI reveals 6cm anterior fibroid compressing bladder. After embolization the fibroid has reduced in size and is no longer compressing the bladder. MRI post-Gadolinium reveals no fibroid enhancement, consistent with infarction, but normal enhancement of remainder of myometrium.

Figure 2 : Left uterine arteriogram pre- and post-embolization. Pre-embolization arteriogram reveals hypervascular uterus. Post-embolization there is stasis in the main uterine artery, with no further flow into the fibroid.

Figure 3 : Pre- and post-embolization right uterine arteriogram. Pre-embolization the uterine artery is dilated supplying a hypervascular uterus. After embolization there is stasis in the main uterine artery with no further flow into the fibroid.

Case 1 | Case 2 | Case 3 | Case 4 : Personal Story