RESUMO
Uterine artery embolization is considered a first-line therapy for symptomatic fibroids and is occasionally required to mitigate operative risk prior to total abdominal hysterectomy or myomectomy. We present a pictorial review of parasitized omental artery supply to the enlarged fibroid uterus in three patients undergoing preoperative uterine artery embolization. A detailed understanding of variant uterine blood supplies is crucial when performing fibroid embolization. Although omental artery supply to the fibroid uterus is an unusual finding, aortography to include mesenteric arteries may be necessary when anomalous blood supply to the enlarged fibroid uterus is suspected.
Assuntos
Artérias/anormalidades , Leiomioma/irrigação sanguínea , Omento/irrigação sanguínea , Neoplasias Uterinas/irrigação sanguínea , Adulto , Aortografia , Feminino , Humanos , Histerectomia , Leiomioma/diagnóstico por imagem , Leiomioma/terapia , Pessoa de Meia-Idade , Omento/diagnóstico por imagem , Estudos Retrospectivos , Embolização da Artéria Uterina/métodos , Miomectomia Uterina , Neoplasias Uterinas/diagnóstico por imagem , Neoplasias Uterinas/terapiaRESUMO
We present a rare case of acquired pelvic arteriovenous fistula of the uterine vessels in a woman with a remote history of hysterectomy who presented with chronic pelvic and left limb pain. It was successfully treated by coil embolisation of the left uterine artery. The MRI and angiographic features are described, together with the current management and a review of literature.
