OBJECTIVE: To report a case of uterine fistula arising after laparoscopic myomectomy after a uterine artery embolization. DESIGN: Case report. SETTING: A university hospital center. PATIENT(S): A 38-year-old woman with a uteroperitoneal fistula after laparoscopic myomectomy after a uterine artery embolization. INTERVENTION(S): Laparoscopic excision of the fistula and repair of the myometrial defect with laparoscopic suture. MAIN OUTCOME MEASURE(S): Not applicable. RESULT(S): Complete correction of the myometrial defect was observed after laparoscopic surgery. CONCLUSION(S): Uterine artery embolization before myomectomy may interfere with myometrial cicatrization and thus alter the repair.
OBJECTIVE: To report a case of uterine fistula arising after laparoscopic myomectomy after a uterine artery embolization. DESIGN: Case report. SETTING: A university hospital center. PATIENT(S): A 38-year-old woman with a uteroperitoneal fistula after laparoscopic myomectomy after a uterine artery embolization. INTERVENTION(S): Laparoscopic excision of the fistula and repair of the myometrial defect with laparoscopic suture. MAIN OUTCOME MEASURE(S): Not applicable. RESULT(S): Complete correction of the myometrial defect was observed after laparoscopic surgery. CONCLUSION(S): Uterine artery embolization before myomectomy may interfere with myometrial cicatrization and thus alter the repair.