Mikuláš Redecha, Magdaléna Mižičková, Ivan Hollý
The authors in the article present the case of a 38 year old patient with symptomatic uterine myoma after several abdominal surgeries due to the gunshot injury of the small pelvis with relative contraindications to further surgery. We have performed uterine artery embolization in the patient. Because of the aberrant left uterine artery we could only perform partial obliteration of the uterine arteries and perform embolization of the right uterine artery. At control check-ups the myoma showed only minimal size regression with insufficient recession of symptoms. Due to this we started therapy with ulipristal acetate 7 months after uterine artery embolization for 3 months. During this therapy the patient did not bleed. The myoma decreased in size 3 months after the end of the farmacologic therapy by 33.75 % from its original size and the symptoms of bleeding vanished.