case_images: PMC8380159_01
case_images: Magnetic resonance images before uterine artery embolization. (a) T2-weighted axial image demonstrates a large intramural fibroid. The central area has a high intensity, suggesting degeneration. The asterisk (*) shows another degenerative uterine fibroid. (b) T2-weighted sagittal image demonstrates the endometrium (white arrow) compressed by the fibroid. The distance between the endometrium (white arrow) and the fibroid is very short. The asterisk (*) shows another degenerative uterine fibroid.
case_images: CRIRA2021-7970894.001.jpg
case_images: PMC8380159_01_CRIRA2021-7970894.001.jpg
case_images: fig1
case_images: On T2-weighted image (T2WI), the fibroid had a homogeneously low signal and was present in close proximity to the endometrium (Figure 1).
case_images: Digital subtraction angiography images. (a) Pre-embolization aortography demonstrates hypertrophic uterine arteries and staining of the fibroid. (b) Post-embolization aortography demonstrates stasis in the uterine arteries bilaterally.
case_images: CRIRA2021-7970894.002.jpg
case_images: PMC8380159_01_CRIRA2021-7970894.002.jpg
case_images: fig2
case_images: Ltd., Tokyo, Japan) to confirm staining of the uterine fibroid (Figure 2(a)). After embolization, we confirmed disappearance of staining of the fibroid (Figure 2(b)).
case_images: Magnetic resonance images 1 month after uterine artery embolization. (a) T2-weighted axial image demonstrates the fibroid protruding from the endometrium into the endometrial cavity (white arrows). The asterisk (*) shows another degenerative uterine fibroid. (b) T2-weighted sagittal image demonstrates prolapse of the fibroid into the internal os (white arrow). A small portion of the fibroid is protruding into the uterine cavity.
case_images: CRIRA2021-7970894.003.jpg
case_images: PMC8380159_01_CRIRA2021-7970894.003.jpg
case_images: fig3
case_images: At 1 month after UAE, routine MRI showed that the fibroid shrunk to 95 x 75 x 70 mm; however, it was protruding into the cervical canal beyond the endometrium (Figure 3).
case_images: Magnetic resonance image 7 months following uterine artery embolization. T2-weighted axial image demonstrates a residual fibroid (white arrow) in the myometrium. The irregularity of the endometrium adjacent to the fibroid is shown. The asterisk (*) shows another degenerative uterine fibroid.
case_images: CRIRA2021-7970894.004.jpg
case_images: PMC8380159_01_CRIRA2021-7970894.004.jpg
case_images: fig4
case_images: MRI showed a small residual fibroid remaining in the uterus after fibroid expulsion and the irregularity of the endometrium (Figure 4). Mild menorrhagia was still present; however, it was well controlled with hormone treatment.
case_images: Magnetic resonance image 11 months following uterine artery embolization. T2-weighted axial image demonstrates further shrinkage of the residual fibroid (white arrow) and improvement of the endometrial irregularity. The asterisk (*) shows another degenerative uterine fibroid.
case_images: CRIRA2021-7970894.005.jpg
case_images: PMC8380159_01_CRIRA2021-7970894.005.jpg
case_images: fig5
case_images: At 11 months after UAE, MRI showed further shrinkage of the residual fibroid and improvement of the endometrial irregularity (Figure 5).