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Uterine Artery Embolization for Pedunculated Subserosal Fibroids

Tetsuya Katsumori1, Kentarou Akazawa and Tadashi Mihara

1 All authors: Department of Radiology, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan.



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  		Fig. 1A. —41-year-old woman with bulk-related symptoms caused by large uterine fibroid. T2-weighted MR image obtained before embolization reveals large pedunculated subserosal fibroid that is 15.5 cm in maximal diameter. Diameter of stalk (arrow) is 4 cm.

 


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  		Fig. 1B. —41-year-old woman with bulk-related symptoms caused by large uterine fibroid. Contrast-enhanced T1-weighted MR image obtained 1 year after embolization reveals that pedunculated subserosal fibroid, now 14.3 cm in maximal diameter, is not enhancing. Diameter of stalk (arrow) is 4.2 cm. Bulk-related symptoms markedly improved.

 


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  		Fig. 2A. —44-year-old woman with menorrhagia and bulk-related symptoms caused by multiple uterine fibroids. T2-weighted MR image obtained before embolization reveals submucosal fibroid (arrowhead) and pedunculated subserosal fibroid 6 cm in maximal diameter. Diameter of stalk (arrow) is 2 cm.

 


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  		Fig. 2B. —44-year-old woman with menorrhagia and bulk-related symptoms caused by multiple uterine fibroids. Contrast-enhanced T1-weighted MR image obtained 1 year after embolization reveals pedunculated subserosal fibroid, now 4.5 cm in maximal diameter, is not enhancing. Diameter of stalk (arrow) is now 1.1 cm. Rate of volume reduction in pedunculated subserosal fibroid is 61%. Menorrhagia and bulk-related symptoms markedly improved.

 

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