The Enlarged Fibroid Uterus: Aberrant Arterial Supply via the Omental Artery

• Published in: Cardiovascular and interventional radiology Vol. 42; no. 4; pp. 615 - 619
• Main Authors: Anton, K., Rosenblum, N. G., Teefey, P., Dayaratna, S., Gonsalves, C. F.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.04.2019; Springer Nature B.V
• Subjects: Adult; Aortography; ARTERIES; Arteries - abnormalities; BIOMEDICAL RADIOGRAPHY; BLOOD; Cardiology; Case Report; Embolization; Expansion; Female; Fibroids; Humans; Hysterectomy; Imaging; Leiomyoma - blood supply; Leiomyoma - diagnostic imaging; Leiomyoma - therapy; Medicine; Medicine & Public Health; Middle Aged; NEOPLASMS; Nuclear Medicine; Omentum - blood supply; Omentum - diagnostic imaging; OVARIES; PATIENTS; Radiology; RADIOLOGY AND NUCLEAR MEDICINE; Retrospective Studies; SURGERY; Ultrasound; Uterine Artery Embolization - methods; Uterine Myomectomy; Uterine Neoplasms - blood supply; Uterine Neoplasms - diagnostic imaging; Uterine Neoplasms - therapy; UTERUS; VASCULAR DISEASES; Veins & arteries; WOMEN; Myomectomy; Omental artery; Arterial embolization; Fibroids; Hysterectomy; Uterine artery embolization; Uterine fibroid embolization
• ISSN: 0174-1551; 1432-086X
• DOI: 10.1007/s00270-018-2087-9

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.