Successful pregnancy outcome in refractory adenomyosis treated with two sessions of uterine artery embolization: A case report and brief review - 20/08/21
, Ritu Yadav a, Sundeep Malla b, Shivanand Gamanagatti b, Neerja Bhatla aBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Introduction: Adenomyosis associated abnormal uterine bleeding (AUB-A) often remains non-responsive to medical management. Uterine sparing treatment in young patients presenting with refractory AUB-A poses a challenge.
Case report: A 28-years-old woman presenting with AUB-A with failed medical therapy did not improve with uterine artery embolization (UAE). She underwent a second session of UAE with smaller embolic particles to which she responded. The reported case is interesting as patient conceived spontaneously despite transiently diminished post-UAE ovarian reserves, indicating spontaneous recovery of ovarian function.
Conclusion: UAE is a promising option for young patients, though UAE for adenomyosis may require smaller embolic particles to be effective which may diminish ovarian reserves due to non-target effects, however recovery is possible in young patients..
Le texte complet de cet article est disponible en PDF.Keywords : Uterine artery embolization, Refractory, Adenomyosis, Embolic particle size, Pregnancy outcome
Plan
Vol 50 - N° 7
Article 102132- septembre 2021 Retour au numéro
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