EC Gynaecology

Uterine fibroids are the most common benign neoplasm of the uterus. With increasing number of patients opting for myomectomy, there is increase in the number of procedure related complications that are being reported. We report one such complication of intra-myometrial haematoma requiring re-laparotomy after 1 year of the primary procedure. The incidence of intra-myometrial haematoma in various studies have been reported from 0.43% to 1.03%. Intra-myometrial haematoma after myomectomy resolve over time. Those requiring drainage are mostly in the immediate post-operative period. The rareity of the case lies in its delayed presentation and need for a re-laparotomy. Gynaecologists must be well equipped not only to deal with the common procedure related complications, but must also have high clinical suspicion of the not so common complications, as this will aid in early diagnosis, so that timely intervetion can be offered to the patient.

 Keywords: Leiomyoma; Intra-Myometrial Haematomy; Post Myomectomy Risks; Re-Laparotomy

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