Authors: Adjoby Roland, Gbary-Lagaud Eleonore, Koffi Soh Victor, Effoh Ndrin Denis, Akobe Privat, Kouakou-Kouraogo Ramata, Nguessan-Yapi Francis, Soro Ngolo Alassane
We report the case of a G4P2 of 41 years of age presenting a bulky fibromatous uterus of size 22-24 weeks, having undergone a polymyomectomy under cervical-isthmic tourniquet for desire of maternity after an injection of LHRH agonist. The post-operative complications were complicated by acute intestinal obstruction. An exploratory laparotomy has objectified a residual hemoperitoneum of low abundance and a solid adhesion between the posterior surface of the uterus and the ileum at the level of post myomectomy hysterorraphy. The conservative treatment consisted of a lifting of the occlusion by careful adhesiolysis, without intestinal resection. This case illustrates the morbidity of post myomectomy bleeding linked to the adhesiogenic activity of fibrin.
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