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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 UAEmay be unusually difficult due to the degenerative changes that occur within the leiomyomas.
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 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 UAEmay be unusually difficult due to the degenerative changes that occur within the leiomyomas.