Myoma expulsion after embolization: case report and literature review

Abstract

Uterine artery embolization (UAE) is a very efficient
treatment modality for myoma. A rare complication
of this procedure is vaginal expulsion of the uterine
myoma (expelled myoma) which may occur in 3 to
5% of cases during a period of 3 to 48 months. We
report a case of myoma expulsion after
embolization, discussing diagnosis and treatment.
A literature review was also conducted. A 40-yearold patient sought medical care on 5/2/2021 with
intermittent pelvic pain and hypermenorrhagia.
Vaginal ultrasound revealed an enlarged uterus
(253 cm3
) with myomas. The largest intramural
myoma measured 7 cm. Uterine artery
embolization was performed on 11/11/2021,
without any complications. On 12/7/2021, during
clinical examination an expelled myoma was
observed entirely inside the vaginal canal. A vaginal
myomectomy was performed, without any
complications. At 15 months after the initial followup, the patient is doing well.