title: Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility.
abstract: OBJECTIVE
  To report a case of uterine fistula arising after laparoscopic myomectomy after a uterine artery embolization.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A university hospital center.
  
  
  METHODS
  A 38-year-old woman with a uteroperitoneal fistula after laparoscopic myomectomy after a uterine artery embolization.
  
  
  METHODS
  Laparoscopic excision of the fistula and repair of the myometrial defect with laparoscopic suture.
  
  
  METHODS
  Not applicable.
  
  
  RESULTS
  Complete correction of the myometrial defect was observed after laparoscopic surgery.
  
  
  CONCLUSIONS
  Uterine artery embolization before myomectomy may interfere with myometrial cicatrization and thus alter the repair.
authors.affiliation: Department of Gynecology, Université Catholique de Louvain, Brussels, Belgium. donnez@gyne.ucl.ac.be
authors.forename: Olivier
authors.initials: O
authors.lastname: Donnez
authors.forename: Pascale
authors.initials: P
authors.lastname: Jadoul
authors.forename: Jean
authors.initials: J
authors.lastname: Squifflet
authors.forename: Jacques
authors.initials: J
authors.lastname: Donnez
mesh_terms: D000328:Adult; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000517:prevention & control; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000601:surgery / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D009215:Myometrium / Q000601:surgery; D010532:Peritoneal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000009:adverse effects*; D014591:Uterine Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery / Q000628:therapy*