首页>
外文期刊>Journal of Young Pharmacists
>Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case
【24h】
Successful Myomectomy during Pregnancy for a Large Uterine Fibroid Causing Intestinal Obstruction: Report of a Case
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 till delivery. This case demonstrates the safety of myomectomy during pregnancy in special circumstances such as intestinal obstruction caused by external compression by a big fibroid.
展开▼
