Endocavitary After UAE for the Uterine Fibroid

Authors: Byung Chul Kang

Clinical History

C.C. : lower abdominal pain before and during menstrual period Duration : recent 3 menstrual cycles History : 9 months ago, she got the uterine artery embolization for the treatment of a submucosal uterine fibroid

Figure 1

1A. T2 TSE TRA : T2-weighted MR image shows a huge mass of low signal intensity. B. T2 FS CORONAL C. T2 TSE SAGITAL

Figure 2

A & B. Uterine artery angiography shows bilateral hypertrophied uterine artery. C. After uterine artery embolization

Figure 3

Hypertrophied uterine artery could not be seen.

Figure 4

Figure 5

Submucosal fibroids with an interface dimension ratio on pre-procedural MRI of greater than 0.55 are more likely to migrate into the endometrial cavity. The majority of these do not cause significant additional symptoms. But, larger submucosal fibroids greater than 6 cm that become endocavitary may occasionally lead to post-procedural problems requiring further intervention and medical treatment.