Yonsei Med J.  2010 May;51(3):451-453. 10.3349/ymj.2010.51.3.451.

Pregnancy and Natural Delivery Following Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery of Uterine Myomas

Affiliations
  • 1Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. jansons@cha.ac.kr
  • 2Comprehensive Gynecologic Cancer Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Abstract

This report discusses a pregnancy case following a series of two consecutive magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) procedures for the treatment of two different myomas in an individual patient. Both procedures were completed without adverse events, and the patient conceived naturally four months after treatment. At 39 weeks, she gave birth to a healthy baby girl, via a vaginal delivery. There were no complications in the pregnancy or during labor.

Keyword

MRI guided focused ultrasound surgery; pregnancy; myoma

MeSH Terms

Adult
Female
Humans
Magnetic Resonance Imaging, Interventional/*methods
Myoma/*surgery
Pregnancy
Pregnancy Outcome
Surgery, Computer-Assisted/*methods
Uterine Neoplasms/*surgery

Figure

  • Fig. 1 A typical sonication in the second treatment, whose target was the dominant myoma.

  • Fig. 2 MR Images taken at the three-month follow-up visit. (A) T2-weighted axial scan. (B) T1-weighted gadolinium-enhanced axial scan, with a significant portion of the myoma still non-enhancing.


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