1Abeer Faisal Aldhawi, 1Fares Garad, 1Mohammed Almetlag, 1Othman Alshehre, 1Hatim Alobaidi, 1Faisal Alahmari, 1Sultan Alammari

1Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Case Report:

Uterine artery embolization (UAE) is one of primary therapies to treat symptomatic uterine fibroids. Although UAE for patient who underwent Internal iliac artery ligation during a massive pelvic haemorrhage or peripartum bleeding can be performed through embolizing collaterals.

We report 44 years-old women who underwent uterine artery embolization for symptomatic multiple uterine fibroids after internal iliac artery ligation with collaterals originated from the left external iliac artery. We briefly present the case’s details and review collaterals pathways after unilateral and bilateral internal iliac artery ligation that might be encounter during Uterine artery embolization.