Successful myomectomy during pregnancy : A case report
<p>Abstract</p> <p>Background</p> <p>The medical literature has reported an increase in myomectomy during caesarean section in the past decade. However, myomectomy performed during pregnancy remains a rarity. The management of uterine fibroids during pregnancy is usuall...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2005-08-01
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| Series: | Reproductive Health |
| Online Access: | http://www.reproductive-health-journal.com/content/2/1/6 |
| Summary: | <p>Abstract</p> <p>Background</p> <p>The medical literature has reported an increase in myomectomy during caesarean section in the past decade. However, myomectomy performed during pregnancy remains a rarity. The management of uterine fibroids during pregnancy is usually expectant and surgical removal is generally delayed until after delivery. We present a case of a large, symptomatic uterine fibroid diagnosed during pregnancy which was successfully managed by antepartum myomectomy.</p> <p>Case presentation</p> <p>A 30 year old woman presented with a one year history of abdominal swelling, amenorrhea and severe epigastric discomfort of 19 weeks duration. The abdomen was grossly distended and tense. A sonographic diagnosis of ovarian tumor in pregnancy was made. Laparotomy revealed a 32 cm degenerating subserosal uterine fibroid co-existing with an intrauterine pregnancy. Myomectomy was successfully performed. The subsequent antenatal period was uneventful with a spontaneous vaginal delivery of a female baby at 38 weeks.</p> <p>Conclusion</p> <p>This report supports other studies and case series that have demonstrated the safety of myomectomy during pregnancy in selected circumstances.</p> |
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| ISSN: | 1742-4755 |