Interventional Treatment of Adenomyosis

In: MRI of Gynaecological Diseases · 2023 · pp. 207–211 · doi:10.1007/978-981-99-3644-1_40 · W4388578968
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This case report describes a 42-year-old patient with severe adenomyosis and dysmenorrhea who opted for uterine artery embolization to preserve her uterus after conservative treatments failed.

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The paper presents an interventional radiology case chapter describing a 42-year-old woman with 5 years of dysmenorrhea, worsening over time with heavier and prolonged menses and fatigue; ultrasound confirmed adenomyosis. She first received conservative medication, but symptoms recurred after stopping treatment and she developed liver and kidney function damage, while she declined hysterectomy and sought uterine-sparing options. She then consulted interventional radiology about uterine artery embolization. This paper is centrally about adenomyosis — it describes a patient’s interventional treatment pathway focused on uterine artery embolization.

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Abstract

Female patient, 42 years old, had dysmenorrhea for 5 years, progressive aggravation for 3 years, increased menstrual volume, prolonged menstrual period, and fatigue. She still felt obvious pain with oral painkillers during menstrual period, which seriously affected her life and work. She went to gynecology outpatient department of our hospital a few years ago, and ultrasonography showed adenomyosis. She was treated conservatively with medication, but relapsed after drug withdrawal and had liver and kidney function damage. The patient resisted hysterectomy and expected to retain the uterus. She visited the interventional radiology department to consult uterine artery embolization. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Youji F. Obstetrics and gynecology. 2nd ed. Beijing: People’s Medical Publishing House; 2010. Qunli Y, Jiandong L, Xiangrong X, et al. Uterine artery embolization for the treatment of diffuse adenomyosis: long-term follow-up analysis. J Interv Radiol. 2013;22:896–9. Popovic M, Puchner S, Berzaczy D, et al. Uterine artery embolization for the treatment of adenomyosis: a review. J Vasc Interv Radiol. 2011;22:901–9. Smeets AJ, Nijenhuis RJ, Boekkooi PF, et al. Long-term follow-up of uterine artery embolization for symptomatic adenomyosis. Cardiovasc Intervent Radiol. 2012;35:815–9. Kim MD, Kim S, Kim NK, et al. Long-term results of uterine artery embolization for symptomatic adenomyosis. Am J Roentgenol. 2007;188:176–81. Jun Z, Bingyang J, Chunlin C, et al. Effect of different embolic agents on prognosis of uterine artery embolization in the treatment of uterine fibroid. Chinese J Pract Gynecol Obstet. 2015;10(31):951–5. Ruifeng Z, Xuyao Z, Binbin W. Efficacy analysis of Embosphere microspheres in the treatment of uterine fibroids. Chinese J Health Care Med. 2016;18(3):230–1. Dariushnia SR, Nikolic B, Stokes LS, et al. Society of Interventional Radiology Standards of practice committee. Quality improvement guidelines for uterine artery embolization for symptomatic leiomyomata. J Vasc Interv Radiol. 2014;25(11):1737–47. Kulshrestha V, Yadav R, Malla S, et al. Successful pregnancy outcome in refractory adenomyosis treated with two sessions of uterine artery embolization: a case report and brief review. J Gynecol Obstet Hum Reprod. 2021;50(7):102132. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Zhang, M., Zhang, G. (2023). Interventional Treatment of Adenomyosis. In: Zhang, G. (eds) MRI of Gynaecological Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-3644-1_40 Download citation DOI: https://doi.org/10.1007/978-981-99-3644-1_40 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-99-3643-4 Online ISBN: 978-981-99-3644-1 eBook Packages: MedicineMedicine (R0)

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