title: Abdominal myomectomy after failed uterine artery embolization.
abstract: 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.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA.
authors.forename: Serina Eisha
authors.initials: SE
authors.lastname: Floyd
authors.forename: Jon Albert
authors.initials: JA
authors.lastname: Proctor
authors.forename: Grace
authors.initials: G
authors.lastname: Couchman
mesh_terms: 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