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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
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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

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