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.
Donnez, O., Jadoul, P., Squifflet, J., & Donnez, J. (2008). Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility. Fertility and sterility, 90(5), 2007. https://doi.org/10.1016/j.fertnstert.2008.05.091 (Original work published 2008)