Abdominal myomectomy after failed uterine artery embolization.

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