Repeat myomectomy at caesarean section.

INTRODUCTION: The recurrence of uterine fibroids after a myomectomy is not an uncommon finding. With the growing evidence in support of the safety of myomectomy at caesarean section, more cases are being reported. Although there is no documented recurrence rate of uterine fibroids after myomectomy at caesarean section, it is likely to be higher than after myomectomy in the non-pregnant state. This is due to the changes that occur in fibroid(s) during pregnancy as a result of the effects of pregnancy hormones. CASE REPORT: We present the first case of repeat myomectomy at caesarean section in our series. This is probably the first of such cases ever reported. The significance of this case report in support of the safety of myomectomy at caesarean section and the possibility of a repeat procedure due to recurrence of uterine fibroid(s) are discussed.