Fertility and Sterility
Volume 90, Issue 5 , Pages 2007.e5-2007.e9, November 2008

Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility

  • Olivier Donnez, M.D.
    • ,
  • Pascale Jadoul, M.D.
    • ,
  • Jean Squifflet, M.D.
    • ,
  • Jacques Donnez, M.D., Ph.D.

      Affiliations

    • Corresponding Author InformationReprint requests: Jacques Donnez, M.D., Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires St. Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium (FAX: + 32-2-764-95-07).

Department of Gynecology, Université Catholique de Louvain, Brussels, Belgium

Received 30 April 2008; received in revised form 28 May 2008; accepted 30 May 2008. published online 11 August 2008.

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.

Key Words: Uterine artery embolization, fistula, myomectomy

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 O.D. has nothing to disclose. P.J. has nothing to disclose. J.S. has nothing to disclose. J.D. has nothing to disclose.

PII: S0015-0282(08)01295-8

doi:10.1016/j.fertnstert.2008.05.091

Fertility and Sterility
Volume 90, Issue 5 , Pages 2007.e5-2007.e9, November 2008

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