Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.
Laparotomic myomectomy in the 16th week of pregnancy: a case report / Domenici, Lavinia; DI DONATO, Violante; Gasparri, Marialuisa; Lecce, Francesca; Caccetta, Jlenia; BENEDETTI PANICI, Pierluigi. - In: CASE REPORTS IN OBSTETRICS AND GYNECOLOGY. - ISSN 2090-6684. - STAMPA. - 2014:(2014), pp. 1-5. [10.1155/2014/154347]
Laparotomic myomectomy in the 16th week of pregnancy: a case report.
DOMENICI, LAVINIA;DI DONATO, VIOLANTE;GASPARRI, MARIALUISA;LECCE, FRANCESCA;CACCETTA, JLENIA;BENEDETTI PANICI, PIERLUIGI
2014
Abstract
Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.