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Giant leiomyoma management during elective cesarean section: a case report
Ottavio Cassardo1, Giuseppe Perugino1, Francesco Nesa2
1Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
A large pelvic leiomyoma complicated a cesarean section, necessitating hysterectomy. This case highlights an innovative surgical approach for managing complex uterine masses during childbirth.
Area of Science:
- Obstetrics and Gynecology
- Surgical Innovation
- Reproductive Medicine
Background:
- Massive infralegamentary leiomyomas can complicate pregnancy, posing surgical challenges during delivery.
- Cesarean myomectomy is increasingly considered, despite historical concerns regarding hemorrhage.
Observation:
- A 44-year-old patient presented with unilateral fetal movement perception due to a large infralegamentary leiomyoma.
- Cesarean delivery required gravid uterus exteriorization and was followed by hysterectomy.
Findings:
- Successful management of a voluminous infralegamentary leiomyoma during cesarean section.
- Demonstration of an innovative surgical technique for complex uterine masses.
Implications:
- This case expands surgical options for obstetricians managing large uterine fibroids during cesarean delivery.
- Highlights the feasibility of complex gynecologic surgery in the context of pregnancy.
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