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UTERINE MIOMA_caso_001_06 |
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UTERINE MIOMA
EMBOLIZATION
case_001_06
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Patient of 44 years of age who consults due to hipermenorrea and vesical tenesmo . As antecedent of interest 2 pregnancies are emphasized. The ecofrafía reveals a mioma of intramural location of 8cm of diameter (see image of magnetic resonance ).
Due to she still desired to achieve another pregnancy and the surgery (miomectomía) did not assure her the conservation of the uterus, she decided to try the embolization.
Procedure was carried out without complications, utilizing small particles (micro spheres) of 500-700 microns, achieving a complete occlusion of the arteries that fed the mioma.
The patient referred moderate pain after the intervention, which was handled with common analgesic and after 48 hs he left the hospital. |
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| PRE-PROCEDURE |
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Fig.
1.2.3.4. Global angiography of both iliac axes which show how the contrast opacifies and delimiting a round structure (mioma) in the capillary phase. It be observed the hypertrophy and tortuosity of the uterine arteries (arrows).
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| PROCEDURE |
Fig.4
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Fig6
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Fig.7
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Fig.8
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Fig.9
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Fig.
4.5.6 Superselective Catheterization of the right uterine artery with a microcatheter by which the micro speheres of 500-700 microns are injected.
Fig. 7.8.9 Superselective Catheterization of the left uterine artery and embolization with the same particles.
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| POST-PROCEDURE |
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Figures 10.11.12 Post processing angiographic control which shows a complete disappearance of the blush hipervascular of the mioma.
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| CONCLUSIONS |
| The embolization represents a most minimum invasive alternative for the intervention of miomas. Between the 78 and the 94% of the women with embolized miomas, experience a complete or almost complete disappearance of the bleeding, the pain or other related symptoms. In spite of the fact that the late effects of the embolization in the fertility of women have not been still well determined due to limited experience, they have been reported in the literature world numerous successful pregnancies after the embolization. |
Pre Treatment
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Post Treatment
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| UTILIZED MATERIAL | | |
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Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness.
Man of 49 years of age who begins a month ago with symptoms of intermittent yielding to the few meters. After physical exam emphasizes the absence of poplíteo pulse and distant in right lower member. 
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