Successful myomectomy during pregnancy: A case report

被引：17

作者：

Umezurike C. ^{[1
]}

Feyi-Waboso P. ^{[2
]}

机构：

[1] Department of Obstetrics and Gynecology, Nigerian Christian Hospital, Aba

[2] Department of Obstetrics and Gynecology, Abia State University Teaching Hospital, Aba

来源：

Reproductive Health | / 2卷 / 1期

关键词：

Ovarian Tumor; Uterine Fibroid; Uterine Leiomyoma; Oligohydramnios; Antenatal Care Visit;

D O I：

10.1186/1742-4755-2-6

中图分类号：

学科分类号：

摘要：

Background: 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. Case presentation: 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. Conclusion: This report supports other studies and case series that have demonstrated the safety of myomectomy during pregnancy in selected circumstances. © 2005 Umezurike and Feyi-Waboso; licensee BioMed Central Ltd.

引用

共 20 条

[1]

Lolis D.F., Kalantaridou S.N., Makrydimas G., Sotiriadis A., Navrozoglu I., Zikopoulos K., Paraskevaidis E.A., Successful myomectomy during pregnancy, Human Reproduction, 18, pp. 1699-1702, (2003)

[2]

Brown D., Fletcher H.M., Myrie M.O., Reid M., Cesarean myomectomy- a safe procedure. A retrospective case controlled study, Obstet Gynecol, 19, pp. 139-141, (1999)

[3]

Ikedife D., Surgical challenge of myomectomy at cesarean section, Nigerian Journal of Surgical Sciences, 3, pp. 15-17, (1993)

[4]

Kwawukume E.Y., Myomectomy during cesarean section, Int J Gynecol Obstet, 76, pp. 183-184, (2002)

[5]

Ezechi O.C., Kalu B.K.E., Okeke P.E., Nwokoro C.O., Inevitable cesarean myomectomy: A case report, Trop J Obstet Gynecol, 20, pp. 159-160, (2003)

[6]

Ehigiegba A.E., Evbuomwan C.E., Inevitable caesarean myomectomy, Trop J Obstet Gynecol, 15, (1998)

[7]

Roman A.S., Tabsh K.M., Myomectomy at time of cesarean delivery

[8]

a retrospective cohort study, BMC Pregnancy and Childbirth, 4, (2004)

[9]

Depp R., Cesarean delivery, Obstetrics: Normal and Problem Pregnancies 4th Edition, (2002)

[10]

Cunningham F.G., Gant F.N., Levenok K.J., Gilstrap L.C., Hauth J.C., Wenstrom K.D., Chapter35: Abnormalities of the reproductive tract, Williams Obstetrics 21st Edition, (2000)

← 1 2 →