Sattar Safura, Naimzadeh David, Behaeddin Bita C, Fonarov Ilya, Casadesus Damian
Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, Henry Ford Health System, Clinton Township, USA.
Cureus. 2023 May 30;15(5):e39740. doi: 10.7759/cureus.39740. eCollection 2023 May.
A woman in her 20s with no past medical history presented to the emergency department with a 4-day history of abdominal pain. Imaging revealed several large uterine fibroids that compressed various intra-abdominal structures. Options of observation, medical management, surgical management with abdominal myomectomy, and uterine artery embolization (UAE) were discussed. The patient was counseled about the associated risks of UAE and myomectomy. Since both procedures have a risk of infertility, the patient elected to proceed with uterine artery embolization due to the less invasive nature of the procedure. She was discharged after one day in the hospital following the procedure and readmitted three days later for suspected endometritis. The patient was treated with antibiotics for five days and discharged home. Eleven months post-procedure, the patient became pregnant. The patient had achieved a full-term delivery at 39 weeks and two days via a cesarean section secondary to a breech presentation.
一名20多岁、无既往病史的女性因腹痛4天就诊于急诊科。影像学检查发现多个大的子宫肌瘤，压迫了各种腹腔内结构。讨论了观察、药物治疗、经腹子宫肌瘤切除术的手术治疗以及子宫动脉栓塞术（UAE）等方案。向患者咨询了UAE和子宫肌瘤切除术的相关风险。由于这两种手术都有导致不孕的风险，鉴于该手术侵入性较小，患者选择进行子宫动脉栓塞术。术后一天她出院，三天后因疑似子宫内膜炎再次入院。患者接受了五天抗生素治疗后出院回家。术后11个月，患者怀孕。因臀位，患者于39周零2天通过剖宫产实现了足月分娩。
