OBJECTIVE: The purpose of this study was to establish the cause of and treatment for chronic vaginal discharge after uterine artery embolization. STUDY DESIGN: This was a retrospective review of the diagnosis and treatment of the procedure at 3 months. RESULTS: In 94% of patients, the condition either completely resolved or diminished to a nonproblematic level. CONCLUSION: The persistent discharge in these patients was due to a superficial cavity within the infarcted fibroid tumor that was communicating with the endometrial cavity through a hole in the endometrium. This situation is indicated by a specific appearance on TII sagittal magnetic resonance images. Hysteroscopic resection of the necrotic fibroid tumor cavity was usually curative.
OBJECTIVE: The purpose of this study was to establish the cause of and treatment for chronic vaginal discharge after uterine artery embolization. STUDY DESIGN: This was a retrospective review of the diagnosis and treatment of the procedure at 3 months. RESULTS: In 94% of patients, the condition either completely resolved or diminished to a nonproblematic level. CONCLUSION: The persistent discharge in these patients was due to a superficial cavity within the infarcted fibroid tumor that was communicating with the endometrial cavity through a hole in the endometrium. This situation is indicated by a specific appearance on TII sagittal magnetic resonance images. Hysteroscopic resection of the necrotic fibroid tumor cavity was usually curative.
Authors: Hye Ri Park; Man Deuk Kim; Nack Keun Kim; Hee Jin Kim; Sang-Wook Yoon; Won Kyu Park; Mee Hwa Lee Journal: Eur Radiol Date: 2005-02-24 Impact factor: 5.315