RESUMO
OBJECTIVE: To report a case of successful pregnancy outcome after embolization treatment of symptomatic leiomyoma. DESIGN: Case report. SETTING: Department of Gynaecology and Obstetrics of University Hospital, Hradec Králové. SUBJECT AND METHOD: A 41-year old primigravida who had previously undergone uterine artery embolization and myomectomy had successful course of the spontaneously conceived pregnancy terminated per sectionem cesarean. An analysis of the 50 published cases of pregnancy after uterine artery embolization revealed the following complications: spontaneous abortion (22%), malpresentation (17%), hypotrophy (7%), premature delivery (28%), caesarean section (58%) and postpartum hemorrhage (13%). CONCLUSION: Whether this procedure is safe for women desiring future fertility is controversial. There are very few data regarding the outcomes of pregnancies after embolization.
