Aberrant Right Ovarian Artery from Proximal Internal Iliac Artery in Uterine Artery Embolization Patient


Some patients who undergo Uterine Artery Embolization (UAE) for symptomatic leiomyomata have collateral ovarian artery supply to the uterus. This typically occurs when the ipsilateral uterine artery is small or absent, and the ovarian artery supply to the uterus can lead to UAE failure. The authors present a case of a woman treated with UAE who had an atretic right uterine artery and an enlarged right ovarian artery supplying the fibroids. The ovarian artery arose from the proximal internal iliac artery. This rare variant vessel was embolized leading to eradication of the patient’s symptoms. The success of this case highlights the need to evaluate for possible variant ovarian artery supply and to embolize these vessels in an attempt to prevent UAE failure.

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R. Reed and B. McLucas, "Aberrant Right Ovarian Artery from Proximal Internal Iliac Artery in Uterine Artery Embolization Patient," Open Journal of Radiology, Vol. 2 No. 4, 2012, pp. 117-119. doi: 10.4236/ojrad.2012.24021.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. C. Goodwin, B. McLucas, M. Lee, G. Chen, R. Perrella, S. Vedantham, et al., “Uterine Artery Embolization for the Treatment of Uterine Leiomyomata Midterm Results,” Journal of Vascular and Interventional Radiology, Vol. 10, No. 9, 1999, pp. 1159-1165. doi:10.1016/S1051-0443(99)70213-7
[2] G. Pron, J. Bennett, A. Common, J. Wall, M. Asch, K. Sniderman, et al., “The Ontario Uterine Fibroid Embolization Trial. Part 2. Uterine Fibroid Reduction and Symptom Relief after Uterine Artery Embolization for Fibroids,” Fertility and Sterility, Vol. 79, No. 1, 2003, pp. 120-127. doi:10.1016/S0015-0282(02)04538-7
[3] I. Pinto, P. Chimeno, A. Romo, L. Paul, J. Haya, M. A. de la Cal, et al., “Uterine Fibroids: Uterine Artery Embolization versus Abdominal Hysterectomy for Treatment—A Prospective, Randomized, and Controlled Clinical Trial,” Radiology, Vol. 226, No. 2, 2003, pp. 425-431. doi:10.1148/radiol.2262011716
[4] J. B. Spies, S. A. Ascher, A. R. Roth, J. Kim, E. B. Levy and J. Gomez-Jorge, “Uterine Artery Embolization for Leiomyomata,” Obstetrics and Gynecology, Vol. 98, No. 1, 2001, pp. 29-34. doi:10.1016/S0029-7844(01)01382-5
[5] M. M. Barth and J. B. Spies, “Ovarian Artery Embolization Supplementing Uterine Embolization for Leiomyomata,” Journal of Vascular and Interventional Radiology, Vol. 14, No. 9, 2003, pp. 1177-1182. doi:10.1097/01.RVI.0000085772.71254.CF
[6] J. P. Pelage, O. Le Dref, P. Soyer, D. Jacob, M. Kardache, H. Dahan, et al., “Arterial Anatomy of the Female Genital Tract: Variations and Relevance to Transcatheter Embolization of the Uterus,” American Journal of Roentgenology, Vol. 172, No. 4, 1999, pp. 989-994.
[7] D. L. Smoger, V. Kancherla and R. D. Shlansky-Goldberg, “Uterine Fundal Blood Supply from an Aberrant Left Ovarian Artery Originating from the Inferior Mesenteric Artery: Implications for Uterine Artery Embolization,” Journal of Vascular and Interventional Radiology, Vol. 21, No. 6, 2010, pp. 941-944. doi:10.1016/j.jvir.2010.01.043
[8] J. H. Kwon, M. D. Kim, K. H. Lee, M. Lee, M. S. Lee, J. Y. Won, et al., “Aberrant Ovarian Collateral Originating from External Iliac Artery during Uterine Artery Embolization,” Cardiovascular and Interventional Radiology, 2012. doi:10.1007/s00270-012-0406-0
[9] M. Matson, A. Nicholson and A. M. Belli, “Anastomoses of the Ovarian and Uterine Arteries: A Potential Pitfall and Cause of Failure of Uterine Embolization,” Cardiovascular and Interventional Radiology, Vol. 23, No. 5, 2000, pp. 393-396. doi:10.1007/s002700010090
[10] A. W. Horton, U. Patel and A. M. Belli, “An Unusual Arterial Supply to the Uterus. A Case Report and Review of Anatomy-Implications for Uterine Artery Embolization,” Clinical Radiology, Vol. 65, No. 12, 2010, pp. 1038-1042. doi:10.1016/j.crad.2010.07.007
[11] N. N. Hu, D. Kaw, M. F. McCullough, H. Nsouli-Maktabi and J. B. Spies, “Menopause and Menopausal Symptoms after Ovarian Artery Embolization: A Comparison with Uterine Artery Embolization Controls,” Journal of Vascular and Interventional Radiology, Vol. 22, No. 5, 2011, pp. 710-715. doi:10.1016/j.jvir.2011.01.441
[12] C. Scheurig-Muenkler, A. Lembcke, V. Froeling, M. Maurer, B. Hamm and T. J. Kroencke, “Uterine Artery Embolization for Symptomatic Fibroids: Long-Term Changes in Disease-Specific Symptoms and Quality of Life,” Human Reproduction, Vol. 26, No. 8, 2011, pp. 2036-2042. doi:10.1093/humrep/der170

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