{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T09:27:43Z","timestamp":1773394063387,"version":"3.50.1"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Obstructive uropathy from uterine fibroids is recognized in the general population but is rare in renal transplant recipients. We report the first case, to our knowledge, of uterine artery embolization successfully treating fibroid-induced hydronephrosis of a transplanted kidney. A woman with a prior renal transplant presented with urinary symptoms and anemia due to menorrhagia from uterine fibroids. Imaging revealed a markedly leiomyomatous uterus causing transplant ureteral compression with hydronephrosis. Uterine artery embolization was performed without traversing the transplant arterial anastomosis. At 4\u2009weeks postintervention, hemoglobin levels improved from 7.1 to 11.4\u2009g\/dL. Subsequent magnetic resonance imaging performed 6\u2009months after therapy confirmed a 34% reduction in uterine volume and resolution of hydronephrosis. Renal function remained stable. Uterine artery embolization may be a feasible treatment option for fibroid-induced hydronephrosis in selected renal transplant patients, with symptom resolution and preservation of allograft function.<\/jats:p>","DOI":"10.1177\/2050313x261424330","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:13:20Z","timestamp":1773252800000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Uterine artery embolization for fibroid-induced hydronephrosis in a renal transplant recipient"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9678-790X","authenticated-orcid":false,"given":"Hanvit","family":"Lee","sequence":"first","affiliation":[{"name":"Weill Cornell Medicine, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Schiffman","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-016-1248-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.02.008"},{"key":"e_1_3_3_4_2","article-title":"Massive leiomyomatous uterine proliferation following kidney transplantation: a case report and literature review","volume":"2018","author":"Minja EJ","year":"2018","unstructured":"Minja EJ, Nair A, Garland L, et al. Massive leiomyomatous uterine proliferation following kidney transplantation: a case report and literature review. Case Rep Transplant 2018; 2018: 3874937.","journal-title":"Case Rep Transplant"},{"issue":"6","key":"e_1_3_3_5_2","first-page":"852","article-title":"Gynecological issues after organ transplantation","volume":"29","author":"Kaminski P","year":"2008","unstructured":"Kaminski P, Bobrowska K, Pietrzak B, et al. Gynecological issues after organ transplantation. Neuro Endocrinol Lett 2008; 29(6): 852\u2013856.","journal-title":"Neuro Endocrinol Lett"},{"issue":"3","key":"e_1_3_3_6_2","first-page":"330","article-title":"Possible impact of immunosuppressive therapy regimens on histopathologic outcomes of abnormal uterine bleeding in solid-organ transplant recipients","volume":"142","author":"Ceyhan ST","year":"2018","unstructured":"Ceyhan ST, Onguru O, Fidan U, et al. Possible impact of immunosuppressive therapy regimens on histopathologic outcomes of abnormal uterine bleeding in solid-organ transplant recipients. Int J Gynecol Obstet 2018; 142(3): 330\u2013336.","journal-title":"Int J Gynecol Obstet"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000064708.76672.E8"},{"issue":"4","key":"e_1_3_3_8_2","article-title":"Uterine artery embolization vs myomectomy for the management of women with uterine leiomyomas: a systematic review and meta-analysis","volume":"230","author":"Tzanis AA","year":"2024","unstructured":"Tzanis AA, Antoniou SA, Gkegkes ID, et al. Uterine artery embolization vs myomectomy for the management of women with uterine leiomyomas: a systematic review and meta-analysis. Am J Obstet Gynecol 2024; 230(4): 379.e1\u2013379.e26.","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-69754-0"},{"issue":"5","key":"e_1_3_3_10_2","first-page":"669","article-title":"Resolution of hydronephrosis after uterine artery embolization for fibroids","volume":"22","author":"Spies JB","year":"2011","unstructured":"Spies JB, Roth AR, Jha RC, et al. Resolution of hydronephrosis after uterine artery embolization for fibroids. J Vasc Interv Radiol 2011; 22(5): 669\u2013673.","journal-title":"J Vasc Interv Radiol"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-008-9381-x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000514199"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/phar.2485"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2019.04.017"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.08.029"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.946334"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020201895"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1914735"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261424330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X261424330","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261424330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:16:21Z","timestamp":1773389781000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X261424330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"alternative-id":["10.1177\/2050313X261424330"],"URL":"https:\/\/doi.org\/10.1177\/2050313x261424330","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"2050313X261424330"}}