Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case

Hayder , AM Salih and Raiya , Issa Sarsam and Naghem , Farouk Abed and Wisam, Abdul Kadder Yassin and Haque , Mainul (2015) Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case. Journal of Young Pharmacists, 7 (4). pp. 399-402. ISSN 0975-1575

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Abstract

Myomectomy is a rare decision taken by O & G specialist in the management of uterine fibroids during pregnancy because hazardous outcome. Management of uterine fibroids during pregnancy is usually expectant making myomectomy a rather rare possibility. This is why surgical removal is generally delayed until after delivery. The current case was a large, symptomatic multiple uterine myomas causing pressure symptoms and was diagnosed during pregnancy by ultrasound and successfully managed by antepartum myomectomy retaining the fetus alive in utero at 18-20 weeks gestation. At term, the patient was delivered by Caesarian hysterectomy due to the presence of multiple myomas occupying the lower segment with placenta accrete, and uncontrolled blood loss from the placental bed. The patient remained uneventful in next 20 weeks follow-up. This case demonstrates the safety of myomectomy during pregnancy in special circumstances such as intestinal obstruction caused by external compression by a big fibroid.

Item Type: Article
Keywords: Uterine fibroid, Antepartum, Myomectomy
Subjects: R Medicine > RG Gynecology and obstetrics
Faculty / Institute: Faculty of Medicine
Depositing User: Professor Dr Mainul Haque
Date Deposited: 25 Aug 2015 00:56
Last Modified: 25 Aug 2015 00:56
URI: http://erep.unisza.edu.my/id/eprint/3561

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