Delayed Leiomyoma Degeneration After Microwave Endometrial Ablation
BACKGROUND:Microwave endometrial ablation is an effective treatment for dysfunctional uterine bleeding. Patients with leiomyomata, including submucosal leiomyomata up to 3 cm, may also be treated with microwave endometrial ablation. CASES:A 46-year-old woman with multiple leiomyomata and menometrorr...
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Published in | Obstetrics and gynecology (New York. 1953) Vol. 106; no. 5, Part 2; pp. 1176 - 1178 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
The American College of Obstetricians and Gynecologists
01.11.2005
Elsevier Science |
Subjects | |
Online Access | Get full text |
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Summary: | BACKGROUND:Microwave endometrial ablation is an effective treatment for dysfunctional uterine bleeding. Patients with leiomyomata, including submucosal leiomyomata up to 3 cm, may also be treated with microwave endometrial ablation.
CASES:A 46-year-old woman with multiple leiomyomata and menometrorrhagia underwent microwave endometrial ablation. Two months after microwave endometrial ablation, she developed signs of peritoneal irritation. A negative laparoscopy excluded a thermal bowel injury. Imaging and clinical examination ultimately determined that her symptoms were due to leiomyoma degeneration. A 38-year-old woman with menometrorrhagia and leiomyomata underwent microwave endometrial ablation. Fifteen days after microwave endometrial ablation, she developed signs of peritoneal irritation. With a presumptive clinical diagnosis of microwave endometrial ablation degeneration, the patient was expectantly managed with pain medications and observation.
CONCLUSION:Fibroid degeneration may have a delayed presentation after microwave endometrial ablation. Thermal bowel injury must be excluded in a patient presenting with signs of peritoneal irritation after microwave ablation of the endometrium before diagnosing leiomyoma degeneration, which can be managed expectantly. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0029-7844 1873-233X |
DOI: | 10.1097/01.AOG.0000164068.18529.eb |