Abdominal myomectomy after failed uterine artery embolization.

ABSTRACT

OBJECTIVE: Report a case of a difficult myomectomy after a failed uterine artery embolization (UAE). DESIGN: Case report. SETTING: A university medical center. PATIENT(S) A 30-year-old woman with pelvic pain and menorrhagia secondary to an enlarging 18- to 20-week-size fibroid uterus. INTERVENTION(S) Abdominal myomectomy. MAIN OUTCOME MEASURE(S) Complicated myomectomy after UAE. RESULT(S) A patient underwent a difficult myomectomy after failed UAE. The myomectomy was only partially completed due to the difficult dissection of the myomas. CONCLUSION(S) Myomectomy after UAE may be unusually difficult due to the degenerative changes that occur within the leiomyomas.