<![CDATA[Background: Uterine fibroids and ovarian cysts are common gynecologic disorders that may require surgical management and can be associated with clinically significant intraoperative bleeding. Temporary uterine tourniquet placement reduces uterine perfusion during surgery and may facilitate hemostasis. Case Presentation: A 40-year-old woman with abdominal pain and a five-year history of heavy, irregular menstruation underwent combined myomectomy and right ovarian cystectomy. Ultrasonography showed an 8.5 x 7.6 x 8.2 cm mixed-echo intrauterine mass and a 6.8 x 6.9 cm hypoechoic mass; preoperative hemoglobin was 10.0 g/dL. Intraoperatively, multiple uterine fibroids, adenomyosis, and a right ovarian cyst with adhesions were identified. A Foley-catheter tourniquet was applied around the lower uterus for 30 minutes, with temporary release for hemostatic assessment. Estimated blood loss was 100 mL, no transfusion was required, and hemoglobin two hours after surgery was 9.1 g/dL. Histopathology confirmed uterine leiomyoma, adenomyosis, and an ovarian endometrioma. The patient was discharged in stable condition on postoperative day 3. Conclusion: In this case, the temporary tourniquet technique provided effective intraoperative bleeding control during combined conservative gynecologic surgery. Further studies are needed to assess long-term reproductive outcomes and its role in combined procedures.]]>
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