Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility.
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.
Donnez
Olivier
O
Department of Gynecology, Université Catholique de Louvain, Brussels, Belgium. donnez@gyne.ucl.ac.be
Jadoul
Pascale
P
Squifflet
Jean
J
Donnez
Jacques
J
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*