Tricky case of severe endometriosis and multiple myoma management.

This is a 32 yrs. old lady with history primary infertility and severe dysmenorrhea in 2 repeated usg exams done at outside centre multiple myomas largest 6*6 cm on posterior wall was diagnosed she was posted for lap myomectomy and also assessment of tubal patency and uterine cavity. However unexpected severe endometriosis with difficult enucleation of myoma was encountered. Edited by - Shreyas manchekar.