Minimally Invasive Treatment of Uterine Myoma in a Patient With Thrombocytopenia: A Case of Uterine Artery Embolization Followed by Laparoscopic Surgery

Uterine fibroids are noncancerous tumors that affect women of reproductive age. Traditional surgical interventions for uterine fibroids require larger incisions and may require longer hospital stays and recovery times than minimally invasive therapies, such as laparoscopic myomectomy, hysteroscopic myomectomy, and uterine artery embolization (UAE). Preoperative UAE blocks the blood supply to fibroids and reduces intraoperative blood loss. This report describes the successful treatment of a patient with uterine fibroids and thrombocytopenia by UAE followed by laparoscopic surgery. The patient presented with sudden massive genital bleeding and visited our hospital immediately. UAE was performed because of the potential risk of surgical management. Three months after the UAE, a total laparoscopic hysterectomy (TLH) was performed to treat uterine fibroids. TLH was completed without bleeding. As a minimally invasive approach, UAE combined with TLH benefits women at a high risk of intraoperative bleeding, allowing the successful completion of a low-risk procedure without complications.