IMR Press / CEOG / Volume 46 / Issue 1 / DOI: 10.12891/ceog4365.2019
Open Access Case Report
Rapidly enlarged uterus following microwave endometrial ablation: a case report
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1 Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane, Japan
2 Department of Organ pathology, Shimane University School of Medicine, Izumo, Shimane, Japan
Clin. Exp. Obstet. Gynecol. 2019, 46(1), 159–160; https://doi.org/10.12891/ceog4365.2019
Published: 10 February 2019
Abstract

Microwave endometrial ablation (MEA) is an effective treatment for menorrhagia and several reports have established its efficacy in treating menorrhagia. However, according to recent reports, relapse of menorrhagia can be one of the long-term clinical outcomes following MEA and often necessitates re-surgery. The authors present the case of a patient with severe abdominal pain for over a month due to a sudden enlarging myoma. Two and a half years prior, she had undergone MEA. Therefore, the patient needed an emergency hysterectomy. This is the first reported case of a rapidly enlarging myoma following MEA. Therefore, a patient who has undergone MEA must be followed up closely for at least three years.

Keywords
MEA
Myoma
Menorrhagia
Relapse
Re-surgery
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