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.
CITATION STYLE
Umezurike, C., & Feyi-Waboso, P. (2005). Successful myomectomy during pregnancy: A case report. Reproductive Health, 2(1). https://doi.org/10.1186/1742-4755-2-6
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