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Related Experiment Videos

Myomectomy during early pregnancy.

A C Wittich1, E R Salminen, M K Yancey

  • 1Department of Obstetrics/Gynecology, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.

Military Medicine
|March 10, 2000
PubMed
Summary

Early pregnancy abdominal pain can signal uterine leiomyoma. Surgical intervention for severe pain in leiomyoma patients during pregnancy is occasionally necessary.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine

Background:

  • Uterine leiomyomas (fibroids) are common benign tumors.
  • Pregnancy can exacerbate symptoms or lead to complications with leiomyomas.

Observation:

  • A 31-year-old primigravida presented with severe abdominal pain at 12 weeks gestation.
  • Discrepancy between uterine size and gestational age was noted.
  • Imaging revealed a large uterine mass alongside intrauterine gestation.

Findings:

  • Exploratory surgery confirmed a large leiomyoma with degenerative changes.
  • Myomectomy was performed, and the pregnancy continued successfully.
  • Cesarean section at 37 weeks gestation resulted in a healthy infant.

Implications:

  • Degenerative changes in uterine leiomyomas can cause significant pain during pregnancy.
  • Surgical management, including myomectomy, may be required in select cases of intractable pain.
  • This case highlights the importance of considering leiomyoma in pregnant patients with acute abdominal pain.

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