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Myomectomy during pregnancy: uncommon case report
A P Makar1, E A Schatteman, I B Vergote
1Department of Obstetrics and Gynecology, St. Augustinus Hospital, Antwerp.
Acta Chirurgica Belgica
|July 1, 1989
Summary
This case study presents a successful myomectomy performed during pregnancy, a procedure generally contraindicated. The surgery removed a degenerating uterine fibroid, allowing the pregnancy to continue without complications.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Myomectomy, surgical removal of uterine fibroids, is typically contraindicated during pregnancy due to potential risks.
- Uterine fibroids can cause complications during pregnancy, including pain and pressure on pelvic organs.
Observation:
- A 14-week pregnant patient presented with severe lower abdominal pain and a palpable 12 cm mass.
- Exploratory laparotomy revealed a degenerating dorsal subserous myoma compressed between the sacrum and uterus.
Findings:
- Myomectomy was successfully performed on the degenerating myoma during the second trimester of pregnancy.
- The surgical intervention resolved the patient's pain and pressure symptoms.
Implications:
- This case demonstrates that myomectomy can be a viable option for managing symptomatic uterine fibroids during pregnancy.
- Careful patient selection and surgical technique are crucial for successful outcomes in pregnant patients undergoing myomectomy.