Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (5): 818-820    DOI: 10.12891/ceog4784.2019
Case Report Previous articles | Next articles
Myomectomy in the 14th week of pregnancy - case report
A.M. Coelho Holanda1, F. Osório Marques1, I.M. Seabra Leite1, *(), J.A. dos Santos Junior1
1Department of Obstetrics and Gynecology, Federal University of Piauí, Teresina, Brazil
Download:  PDF(1152KB)  ( 195 ) Full text   ( 6 )
Export:  BibTeX | EndNote (RIS)      
Abstract  

Uterine leiomyomas are the most common benign tumours in women. During the pregnancy, their prevalence is 2%. The management of leiomyomas in this period is eminently clinical, except in special situations. The decision by the indication of concomitant surgery pregnancy is complicated because in addition to the anaesthetic risks, studies show worse fetal prognosis. In this study, a rare case of myomectomy was reported in a 14-week gestation due to acute abdomen with intense pain. A 36-year-old primigravida was admitted to the Maternity emergency room, with severe abdominal pain, especially in the right hypochondrium and right flank, for 3 days. Ultrasonography showed leiomyoma measuring 15×11.4 cm. Exploratory laparotomy was performed with myomectomy. After surgery, pregnancy progressed normally until the 37th week, when the patient developed pre-eclampsia. At the opportunity, a caesarean section was performed. The new born was born healthy, weighing 3031g and Apgar 9 and 10. The decision to perform myomectomy is complicated and controversial. Its accomplishment is considered especially when all the other non-surgical therapies have failed, persisting or increasing pain. However, it should be considered the choice of surgery because of possible abdominal surgical complications in pregnancy.

Key words:  Uterine leiomyomas      Benign tumours      Myomectomy      Pregnancy complications     
Published:  10 October 2019     
*Corresponding Author(s):  SEABRA LEITE     E-mail:  isabelamsleite@hotmail.com

Cite this article: 

A.M. Coelho Holanda, F. Osório Marques, I.M. Seabra Leite, J.A. dos Santos Junior. Myomectomy in the 14th week of pregnancy - case report. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 818-820.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4784.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I5/818

[1] Xiu-feng Yang, Meng Tang, Li-li Liu, Xiao-qiang Wei. A diagnostic dilemma and surgical attention of a giant broad ligament leiomyoma with cystic degeneration: case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 715-718.
[2] Wu Shun Felix Wong, Xiao-Gang Zhu, Min Xue. Adenomyosis – Is a new treatment solution available?[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 5-8.
[3] G.S. Wang, B. Wei. Vaginal myomectomy is superior to abdominal myomectomy in treatment effect and postoperative recovery[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 840-846.
[4] H.J. Wang, T.H. Chou, Y.C. Lee, H.K. Au. Acute fatty liver during pregnancy and gestational diabetes insipidus: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 438-441.
[5] P.C. Goksedef, S. Gökce, D. Herkiloglu, S. Ermin, M. Ekmez. Ulcus cruris caused by a giant pelvic mass: A case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 446-448.
[6] H. Kiyak, L. S. Turkgeldi, C. Ozdemir, S. Gunkaya, K. Tolga, A. Gedikbası. Myomectomy during cesarean section: is it a redundant or a feasible procedure?[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 881-887.
[7] L. Giannella, S. Paganelli, L. Sabbioni, L.B. Cerami. Parasitic abdominal wall leiomyoma after open myomectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 848-849.
[8] B. Karamustafaoglu Balcı, C. Yasa, O. Dural, E. Bastu, F. Gungor Ugurlucan, M. Orhan Sungur, T. Ozkan Seyhan, S. Topuz. Myomectomy over the age of forty[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 216-218.
[9] I. Rudic Biljic-Erski, M. Vasiljevic, S. Rakic, S. Mihajlovic, O. D. Smiljkovic. The impact of hysteroscopic myomectomy on fertility and pregnancy outcomes of infertile women according characteristics of submucous fibroids[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 235-240.
[10] F. Ercan, A. Pekin, M. Sarıkaya, F. Kılıç, O. Balcı, H. Görkemli, A. Acar. A safe procedure for myomectomy during cesarean section[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 72-75.
[11] Sun Young Jung, Suk Young Kim. Is it possible to early diagnose uterine rupture by ultrasound without common clinical signs during pregnancy following laparoscopic myomectomy?[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 605-607.
[12] J. Hudecová, A. Hudec, Z. Novotný, D. Slouka. Pregnancy in the scar after myomectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 632-635.
[13] N. Brasha, M. Abbas, A. Gadeer, R. Gadeer, A. Ali. Postpartum pyomyoma caused by Clostridium Ramosum: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 636-640.
[14] Juan Wang, Lili Qian, Zhen Shen, Jing Wang, Dabao Wu, Ying Zhou. A case report of a large prolapsed submucous myoma with pelvic abscess[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 641-642.
[15] Ning Hui, Xiuli Li, Shujuan Wang, Yuanguang Meng, Yuan Gao. A third-trimester rupture in a scarred uterus: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 452-455.
No Suggested Reading articles found!