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.