Multiple laparotomic myomectomy during pregnancy: a case report

Arch Gynecol Obstet. 2011 Sep;284(3):613-6. doi: 10.1007/s00404-011-1939-1. Epub 2011 Jun 18.

Abstract

The presence of uterine myomas during pregnancy is considered a risk factor for gestation and delivery. In literature, myomas are related to spontaneous abortion, bleeding, PPROM, preterm delivery, placenta previa, placental abruption, fetal malpresentations, mechanical dystocia and high incidence of cesarean section. Laparotomic myomectomy done during pregnancy is indicated when symptoms related to uterine myomas, as acute pelvic pain or gastroenteric or urinary symptoms, persist despite the pharmacological therapy. The purpose of this study is to show a successful surgical management of uterine myomas at 15.5 weeks of pregnancy, which allowed the continuation of gestation and a delivery without major complications.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Humans
  • Leiomyoma / surgery*
  • Live Birth
  • Pregnancy
  • Pregnancy Complications, Neoplastic / surgery*
  • Pregnancy Trimester, Second
  • Uterine Neoplasms / surgery*