Téma:  Case Studies

Complication of conservative treatment of uterine myoma

Mikuláš Redecha, Vladimír Javorka, Magdaléna Mižíčková, Vladimír Ferianec, Peter Papcun, Marián Križko ml., Karol Holomáň

Uterine artery embolization is today a standard method for the treatment of symptomatic uterine myomas. The procedure is safe, associated with only minimal number of complications. The most frequent one is transvaginal expulsion of the myoma. We present a case of a 32-year-old patient with symptomatic intramural myoma who preferred its conservative treatment. Therefore, uterine artery embolization was performed. The procedure was without any complications. Three weeks after the procedure the patient experienced a sudden onset of pain in both hypogastric regions and minor uterine bleeding. The diagnosis of transvaginal expulsion of necrotic myoma was made. Its transvaginal resection was performed. Six months later the patient feels well and is symptom free. Expulsion of intramural myoma and its cure can be thus considered as definite treatment and not a complication of the embolization therapy.

Ročník 2009  Témy časopisu Gynecology for practice 2 / 2009

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prof. MUDr. Ľudovít Danihel, PhD.
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MUDr. Ľudovít Janek st.
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prof. MUDr. Štefan Lukačín, PhD.
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doc. MUDr. Martin Redecha, PhD.

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SECTIONS

OVERVIEW PAPERS
The latest knowledge on disease and disease groups aetiology, pathogenesis, diagnoses and therapy. Maximum size is 8 pages (font size 12, line spacing 1.5) with maximum five pictures (graphs). In case of more extensive theme elaboration it is possible to divide the paper to several parts after agreement with editorial office. Write the article with emphasis on its practical usage for gynaecologists.

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FROM BORDERLINE OF GYNECOLOGY
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6. Bibliography
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Examples of citations:
1. Webb MJ. Chirurgia v gynekologickej onkológii – včera, dnes a zajtra. Gynekol prax 2003; 1 (1): 29-34.
2. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
3. Kistner RW. Gynecology. Principles and Practice. 3rd Ed. Chicago: Year Book Medical Publisher 1979: 823p.
4. Osborne BE.The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.
5. Rodička a novorodenec 2000. Zdravotnická statistika, ÚZIS ČR 2001, 127.
6. http/www.nspnz.sk/neonatal/priority.htm

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For primary dysmenorrhoea from laboratory results it is characteristic:
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b. increase of C-reactive protein and FW in the blood
c. decrease of Hb level in the blood below 100 g/l
d. none of them are characteristic

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