Abdominal myomectomy after failed uterine artery embolization.
OBJECTIVE
Report a case of a difficult myomectomy after a failed uterine artery embolization (UAE).


METHODS
Case report.


METHODS
A university medical center.


METHODS
A 30-year-old woman with pelvic pain and menorrhagia secondary to an enlarging 18- to 20-week-size fibroid uterus.


METHODS
Abdominal myomectomy.


METHODS
Complicated myomectomy after UAE.


RESULTS
A patient underwent a difficult myomectomy after failed UAE. The myomectomy was only partially completed due to the difficult dissection of the myomas.


CONCLUSIONS
Myomectomy after UAE may be unusually difficult due to the degenerative changes that occur within the leiomyomas.
Floyd
Serina Eisha
SE
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Proctor
Jon Albert
JA
Couchman
Grace
G
D015746:Abdominal Pain / Q000503:physiopathology / Q000601:surgery*; D000328:Adult; D001158:Arteries; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000503:physiopathology / Q000601:surgery; D009215:Myometrium / Q000098:blood supply* / Q000503:physiopathology / Q000601:surgery*; D017211:Treatment Failure; D014599:Uterus / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery