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Figure 13d. Fibroid expulsion in a 48-year-old woman. (a, b) Transverse (a) and sagittal (b) transvaginal US images obtained prior to UAE show a large intramural fibroid (cursors) with a submucosal component and a normal cervical canal (C). Two months after undergoing UAE, the patient presented with complaints of pain and vaginal bleeding. (c, d) Sagittal transvaginal US images demonstrate the large fibroid (arrows) to be partially expulsed and now present within the endocervical canal. (e) Sagittal transvaginal US image obtained 6 months after UAE demonstrates a normal-appearing uterus with no fibroid in an intramural-submucosal location or within the endocervical canal. The patient provided a history of passing tissue per vaginum shortly after the previous US study.
