Wedisha Gankanda, Madura Jayawardane
Adenomyosis and fibroids are two entities which co-exist and are sometimes difficult to differentiate by imaging. GnRH treatment can obscure the tissue planes making myomectomy or adenomyomectomy technically challenging. We report a case of difficult laparoscopic adenomyomectomy following GnRH therapy leading to significant loss of endometrium, which was successfully reconstructed using an inflated foley catheter balloon as a support.
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