Effect of magnetic resonance imaging characteristics on uterine fibroid treatment

Duc, Nguyen Minh; Huy, Huynh Quang

doi:10.2147/rmi.s162910

Cited by 3 publications

(1 citation statement)

References 37 publications

(69 reference statements)

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“…Fibroids with high signal intensity on T2-weighted (T2W) MR imaging show greater size reduction in size following UAE. [ 10 ] Furthermore, fibroids with strong perfusion on T1 perfusion imaging adapt to UAE better than those with weak perfusion. Demonstration of infarcted fibroid and pedunculated fibroid on MR imaging is considered a contraindication to UAE.…”

Section: Discussionmentioning

confidence: 99%

Ruptured pyomyoma – Rare complication of post-uterine artery embolization: A case report

Vulasala

Gopireddy

Mohamed

et al. 2021

JCIS

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Leiomyomas, also termed as fibroids, are benign smooth, muscle neoplasms seen in 70–80% of women by the age of 50 years. Uterine artery embolization (UAE) is a minimally invasive procedure that involves cessation of vascular supply to the fibroids, by infusion of gelatinous microspheres into the uterine arteries. Pyomyoma is a suppurative leiomyoma, secondary to infection of necrotic tissue. It is an infrequent complication of uterine artery embolization (UAE). Pyomyoma can lead to sepsis, peritonitis, and respiratory distress syndrome resulting in high morbidity and mortality. Due to its rarity, high suspicion is crucial in the diagnosis, and prompt treatment is recommended to reduce mortality. Ultrasound, computed tomography, and magnetic resonance imaging assist in diagnosis. We present a case of a 44-year-old woman with ruptured pyomyoma, following an UAE intervention. The patient was treated with total abdominal hysterectomy and salpingo-oophorectomy along with peritoneal irrigation and drainage.

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Section: Discussionmentioning

confidence: 99%

Ruptured pyomyoma – Rare complication of post-uterine artery embolization: A case report

Vulasala

Gopireddy

Mohamed

et al. 2021

JCIS

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Uterine fibroids — Causes, impact, treatment, and lens to the African perspective

et al. 2023

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Leiomyomas, or uterine fibroids as they are commonly known, are mostly seen in women of reproductive age. However, they can go undetected in most women, and approximately 25% of women show clinical symptoms. Although fibroids are a global burden impacting 80% of premenopausal women, they are more prevalent among Black women than among women of other races. Based on clinical diagnosis, the estimated cumulative incidence of fibroids in women ≤50 years old is significantly higher for black (>80%) versus white women (∼70%). The cause of leiomyomas is not clearly known, but studies have shown evidence of factors that drive the development or exacerbation of the disease. Evidence has linked risk factors such as lifestyle, age, environment, family history of uterine fibroids, and vitamin D deficiencies to an increased risk of uterine fibroids, which impact women of African descent at higher rates. Treatments may be invasive, such as hysterectomy and myomectomy, or non-invasive, such as hormonal or non-hormonal therapies. These treatments are costly and tend to burden women who have the disease. Sub-Saharan Africa is known to have the largest population of black women, yet the majority of uterine fibroid studies do not include populations from the continent. Furthermore, the prevalence of the disease on the continent is not well determined. To effectively treat the disease, its drivers need to be understood, especially with regard to racial preferences. This paper aims to review the existing literature and build a case for conducting future research on African women.

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Laparoscopic Myomectomy for Huge Uterine Fibroid in Sub-Saharan Africa: A Case Report

Asaolu,

Ejenobo,

Alabi

2023

Afr J Reprod Gynaecol Endosc

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The prevalence of extensive and multiple uterine fibroids among the Black African population is a significant concern, as it limits the available management options. The focus on girl child education and improvement in women empowerment have contributed to an increased demand for less invasive options in the management of uterine fibroids. This trend aims to improve cosmesis and, more importantly, facilitate an early return to work and normal activity. In sub-Saharan Africa, the available management options for uterine fibroids have primarily been limited to abdominal myomectomy and hysterectomy. However, anecdotal reports indicate the use of less invasive management options such as uterine artery embolization, laparoscopic radiofrequency ablation, and laparoscopic myomectomy. These interventions are reserved for small- and medium-sized fibroids, with the largest being <15 cm and usually not more than five myoma nodules. We present a case report of laparoscopic myomectomy for a huge uterine fibroid weighing 2.4 kg in a nulliparous patient. In well-selected, properly evaluated patients with large subserous uterine fibroids, laparoscopic myomectomy emerges as a viable option that could be offered as an armamentarium in the management of huge fibroids, particularly in sub-Saharan Africa.

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Effect of magnetic resonance imaging characteristics on uterine fibroid treatment

Cited by 3 publications

References 37 publications

Ruptured pyomyoma – Rare complication of post-uterine artery embolization: A case report

Ruptured pyomyoma – Rare complication of post-uterine artery embolization: A case report

Uterine fibroids — Causes, impact, treatment, and lens to the African perspective

Laparoscopic Myomectomy for Huge Uterine Fibroid in Sub-Saharan Africa: A Case Report

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