Massive Vaginal Hemorrhage after Uterine Fibroid Embolization

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Presentation transcript:

Massive Vaginal Hemorrhage after Uterine Fibroid Embolization Robert K. Kerlan, MD, James O. Coffey, MA, Marilyn S. Milkman, MD, Jeanne M. LaBerge, MD, Mark W. Wilson, MD, Kristen A. Cea Wolanske, MD, Roy L. Gordon, MD Journal of Vascular and Interventional Radiology Volume 14, Issue 11, Pages 1465-1467 (November 2003) DOI: 10.1097/01.RVI.0000096770.74047.81 Copyright © 2003 Society of Interventional Radiology Terms and Conditions

Figure 1 Uterine fibroid embolization. (a) elective left uterine arteriography (subtracted view) shows large uterine fibroid. (b) Image after uterine artery embolization shows stagnation of contrast material within the left uterine artery. Journal of Vascular and Interventional Radiology 2003 14, 1465-1467DOI: (10.1097/01.RVI.0000096770.74047.81) Copyright © 2003 Society of Interventional Radiology Terms and Conditions

Figure 2 Gross specimen of uterus with detached cervix (arrow) shows the relationship of the fibroid (large arrowheads) to the uterine cavity (small arrowheads). Journal of Vascular and Interventional Radiology 2003 14, 1465-1467DOI: (10.1097/01.RVI.0000096770.74047.81) Copyright © 2003 Society of Interventional Radiology Terms and Conditions

Figure 3 Histologic section (hematoxylin & eosin; original magnification, 40x) through junction of necrotic myoma and endometrium (arrows) reveals ulceration (arrowhead) of the uterine lining. Journal of Vascular and Interventional Radiology 2003 14, 1465-1467DOI: (10.1097/01.RVI.0000096770.74047.81) Copyright © 2003 Society of Interventional Radiology Terms and Conditions