Uterine Fundal Blood Supply from an Aberrant Left Ovarian Artery Originating from the Inferior Mesenteric Artery: Implications for Uterine Artery Embolization

A 46-year-old Cambodian woman with a history of adenomyosis underwent a uterine artery embolization procedure to control her menorrhagia. Aortography revealed a left ovarian artery originating from the inferior mesenteric artery (IMA) supplying a large portion of uterine vascularity. Based on recognition of this variant, the ovarian artery was embolized without compromising flow to the IMA to achieve the best chance for success.